首页|基于PERMA模式的护理对乳腺癌患者干预效果的Meta分析

基于PERMA模式的护理对乳腺癌患者干预效果的Meta分析

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目的 系统评价基于PREMA模式的护理对乳腺癌患者的干预效果.方法 检索CINAHL、PubMed、Embase、Web of Science、Medline、Scopus、Cochrane Library、PsycInfo、中国生物医学文献数据库、中国知网、万方数据知识服务平台、维普中文科技期刊数据库中基于PERMA模式的护理对乳腺癌患者干预效果的随机对照试验,检索时限为建库至 2024 年 2 月 27 日,运用RevMan 5.4 软件分析数据.结果 共纳入 7 项研究,672 例患者.Meta分析显示,与对照组相比,基于PREMA模式的护理可降低乳腺癌患者的焦虑[SMD=-2.58,95%CI(-3.37,-1.79),P<0.001]、抑郁[SMD=-3.79,95%CI(-4.91,-2.66),P<0.001]、恐惧疾病进展[MD=-5.70,95%CI(-6.85,-4.56),P<0.001]、疲乏[SMD=-8.16,95%CI(-15.34,-0.98),P=0.030],提高幸福感[SMD=1.63,95%CI(0.88,2.38),P<0.001]和心理资本[MD=17.12,95%CI(12.12,22.13),P<0.001].结论 基于PREMA模式的护理干预能够降低乳腺癌患者的负性情绪及疲乏症状,并利于提升患者的幸福感和心理资本.但仍需开展大样本、高质量的随机对照试验来进一步验证该干预的有效性.
Effectiveness of nursing intervention based on PERMA model in breast cancer patients:a Meta analysis
Objective To review and evaluate the effectiveness of nursing intervention based on PERMA model in breast cancer patients.Methods Electronic databases including CINAHL,PubMed,Embase,Web of Science,Medline,Scopus,Cochrane Library,PsycIn-fo,CBM,CNKI,Wanfang Data and VIP,were searched up to February 27,2024 for randomized controlled trials evaluating nursing intervention based on PERMA model.Data analysis was conducted using RevMan 5.4 software.Results Seven studies comprising 672 patients were included.Meta analysis showed that nursing intervention based on PERMA model significantly reduced anxiety[SMD=-2.58,95% CI(-3.37,-1.79),P<0.001],depression[SMD=-3.79,95% CI(-4.91,-2.66),P<0.001],fear of disease progression[MD=-5.70,95% CI(-6.85,-4.56),P<0.001].Additionally,it led to a reduction in fatigue[SMD=-8.16,95% CI(-15.34,-0.98),P=0.030],and an increase in happiness[SMD=1.63,95% CI(0.88,2.38),P<0.001]and psychological capital[MD=17.12,95% CI(12.12,22.13),P<0.001].Conclusion Nursing interventions based on the PREMA model are effective in alleviating negative emotional states and fatigue among breast cancer patients,while also promoting happiness and psychological capital.There is a need for further validation through large-sample,high-quality randomized controlled trials to confirm the effectiveness of the interventions.

PERMA modelbreast cancerpsychological nursingMeta-analysisevidence-based nursing

王芹、吴秋盈、王琳、王岩岩、郭媛媛、吕淑祯

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572013,三亚市,解放军总医院海南医院护理部

PERMA模式 乳腺癌 心理护理 Meta分析 循证护理学

2021年海南省自然科学基金青年项目

821QN387

2024

护理管理杂志
中国人民解放军北京军区总医院

护理管理杂志

CSTPCD
影响因子:2.38
ISSN:1671-315X
年,卷(期):2024.24(8)
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