慢性病学杂志2023,Vol.24Issue(9) :1281-1288.DOI:10.16440/J.CNKI.1674-8166.2023.09.01

积极心理干预对宫颈癌患者负性情绪及生活质量影响的Meta分析

Meta-analysis of the effects of positive psychological intervention on negative emotions and quality of life in patients with cervical cancer

李成香 王国蓉 蒋欣 冷英杰 聂茁苗 谢若男
慢性病学杂志2023,Vol.24Issue(9) :1281-1288.DOI:10.16440/J.CNKI.1674-8166.2023.09.01

积极心理干预对宫颈癌患者负性情绪及生活质量影响的Meta分析

Meta-analysis of the effects of positive psychological intervention on negative emotions and quality of life in patients with cervical cancer

李成香 1王国蓉 2蒋欣 1冷英杰 1聂茁苗 1谢若男1
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作者信息

  • 1. 成都中医药大学护理学院,四川 610075
  • 2. 四川省肿瘤医院护理部
  • 折叠

摘要

目的 系统评价常用的积极心理干预方法对宫颈癌患者焦虑、抑郁等负性情绪及生活质量的干预效果.方法 计算机检索CNKI、万方数据库、中国生物医学文献数据库(SinoMed)、维普、PubMed、Embase、the Cochrane Library及Web of Science数据库中近5年有关积极心理干预对宫颈癌患者焦虑、抑郁及生活质量影响的文献,检索时间为2018年1月至2023年3月.经2位研究者独立筛选、质量评价后交叉核对最终确定纳入的研究,提取的数据采用RevMan 5.4软件进行Meta分析.结果 本研究共纳入15个随机对照研究,共1 388例宫颈癌患者.Meta分析结果显示:对宫颈癌患者实施积极心理干预能够有效缓解患者的焦虑[MD=-7.76,95%CI(-10.01~-5.50),P<0.01]、抑郁情绪[MD=-8.69,95%CI(-11.10~-6.27),P<0.01],提升患者生活质量中的整体生活质量[SMD=1.78,95%CI(0.94~2.63),P<0.01]、躯体功能[SMD=2.47,95%CI(0.96~3.98),P=0.001]、角色功能[SMD=1.87,95%CI(0.14~3.59),P=0.03]、情绪功能[SMD=1.33,95%CI(0.12~2.55),P=0.03]、社会功能[SMD=2.49,95%CI(1.08~3.90),P=0.0005]和认知功能[SMD=0.74,95%CI(0.18~1.30),P=0.009].结论 积极心理干预可缓解宫颈癌患者焦虑、抑郁等负性情绪以及提升生活质量,临床上护理人员在实施心理干预时可根据患者具体情况选择合适的心理干预措施.

Abstract

Objective To systematically evaluate the effect of common positive psychological intervention methods on negative emotions such as anxiety and depression and quality of life in patients with cervical cancer.Methods CNKI,Wanfang Database,SinoMed,VIP,PubMed,Embase,the Cochrane Library and Web of Sicence were searched the literature on the effect of positive psychological intervention on anxiety,depression and quality of life of cervical cancer patients in the past five years in the database was searched from January 2018 to March 2023.Two researchers independently screened and cross-checked the included studies after quality evaluation.RevMan 5.4 software was used for Meta-analysis.Results Fifteen random-ized controlled trials involving 1 388 patients with cervical cancer were included.Meta-analysis results showed that:positive psychological intervention for patients with cervical cancer can effectively alleviate anxiety[MD=-7.76,95%CI(-10.01-5.50),P<0.01]and depression[MD=-8.69,95%CI(-11.10--6.27),P<0.01].Improving the overall quality of life in patients'quality of life[SMD=1.78,95%CI(0.94-2.63),P<0.01],physical function[SMD=2.47,95%CI(0.96-3.98),P=0.001],role function[SMD=1.87,95%CI(0.14-3.59),P=0.03)],emotional function[SMD=1.33,95%CI(0.12-2.55),P=0.03),social function[SMD=2.49,95%CI(1.08-3.90),P=0.0005]and cognitive function[SMD=0.74,95%CI(0.18-1.30),P=0.009].Conclusions Positive psychological intervention can relieve the negative emotions such as anxiety and depres-sion and improve the quality of life of patients with cervical cancer.Subgroup analysis shows that no matter the type of intervention measures,there are positive effects on the negative emotions and quality of life of patients with cervical cancer.Nurses can choose appropriate psychological interventions according to the spe-cific conditions of patients when implementing psychological interventions in clinical practice,butthere is no conclusion on the best intervention measures.We look forward to more high-quality related randomized con-trolled trials for further verification and exploration in the future.

关键词

宫颈肿瘤/积极心理学/焦虑/抑郁/生活质量/Meta分析

Key words

Cervical neoplasms/Positive psychology/Anxiety/Depression/Quality of life/Meta-analysis

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出版年

2023
慢性病学杂志

慢性病学杂志

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参考文献量37
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