目的 系统评价造口患者心理社会适应现状及影响因素。方法 系统检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Web of Science、Embase和CINAHL等数据库，收集关于造口患者心理社会适应水平和(或)影响因素的研究，检索时限为建库至2023年10月。由2名研究者独立筛选文献、提取资料和评价纳入研究的偏倚风险，应用Stata 16。0软件对纳入文献进行meta分析。结果 共纳入40篇文献，包括7 408例造口患者。meta分析结果显示，造口患者心理社会适应得分[95％可信区间(95％CI)]为46。79(44。60，48。99)分;亚组分析结果显示，国内外患者心理社会适应合并得分(95％CI)分别为46。38(44。12，48。64)、53。63(44。44，62。83)分。样本量为<100、100～300、>300的文献中患者心理社会适应合并得分(95％CI)分别为 47。50(41。54，53。47)、47。01(44。57，49。45)、41。56(31。92，51。20)分。造口患者的自我效能、社会支持和疾病获益感水平与其心理社会适应水平高度相关(相关系数=0。75、0。69、0。55，P＜0。01)。结论 造口患者仍存在一定程度的心理社会适应问题，且其心理社会适应水平受社会支持等多种因素的影响。
Meta-analysis of the current status and influencing factors of psychosocial adaptation in stoma patients
Objective To systematically evaluate the current status and influencing factors of psychoso-cial adaptation in stoma patients.Methods Databases including CNKI,Wanfang,VIP,CBM,PubMed,Web of Science,Embase,and CINAHL were systematically searched to collect studies on the level of psychosocial ad-aptation and/or its influencing factors in stoma patients.The search was conducted from the inception of each database to October 2023.Two researchers independently screened the literature,extracted data,and assessed the risk of bias in the included studies.A meta-analysis was conducted using Stata 16.0 software.Results A total of 40 studies involving 7 408 stoma patients were included.The meta-analysis results showed that the o-verall score of psychosocial adaptation in stoma patients[95％confidence interval(95％CI)]was 46.79(44.60,48.99)points.Subgroup analysis revealed that the combined scores of psychosocial adaptation(95％CI)for domestic and foreign patients were 46.38(44.12,48.64)points and 53.63(44.44,62.83)points,re-spectively.Among studies with sample sizes of<100,100-300,>300,the combined scores of psychosocial adaptation(95％CI)were 47.50(41.54,53.47)points,47.01(44.57,49.45)points,41.56(31.92,51.20)points,respectively.The levels of self-efficacy,social support,and perceived benefit of illness in stoma patients were highly correlated with their level of psychosocial adaptation(correlation coefficients=0.75,0.69,0.55,P＜0.01).Conclusion Stoma patients still experience a certain degree of psychosocial adaptation problems,and their level of psychosocial adaptation is influenced by various factors,including social support.
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