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