基于自我同情的护理干预改善癌症患者心理健康结局的Meta分析
Self-compassionate nursing interventions to improve mental health outcomes in cancer patients:a Meta-analysis
郭越 1权海善 1张元 1胡永洁 1封麦芳 1石珂珂 1王惠惠1
作者信息
- 1. 延边大学护理学院,吉林延吉 133002
- 折叠
摘要
[目的]系统评价基于自我同情的护理干预对癌症患者心理健康结局的改善效果.[方法]检索Web of Science、PubMed、Embase、CINAHL、Cochrane Library、Science Direct、中国知网、万方数据知识服务平台、维普期刊全文数据库及中国生物医学文献服务系统中基于自我同情的护理干预应用于癌症患者的随机对照试验研究方面的文献,检索时限为从建库至2023年8月.由2名研究者独立筛选文献、提取资料、评价文献质量,使用RevMan5.2软件进行Meta分析.[结果]共计纳入11项研究,包含698例研究对象.Meta分析结果显示,基于自我同情的护理干预可显著提高癌症患者的正念(SMD=0.66,95％CI[0.36,0.96],P＜0.001)和自我同情水平(SMD=0.55,95％CI[0.39,0.71],P＜0.001),明显缓解焦虑情绪(SMD=-0.53,95％CI[-1.05,-0.02],P=0.04)和抑郁情绪(SMD=-0.26,95％CI[-0.43,-0.09],P=0.003).[结论]基于自我同情的护理干预可有效提高癌症患者的正念和自我同情水平,并缓解焦虑与抑郁情绪.
Abstract
OBJECTIVE To systematically evaluate the effect of nursing intervention based on self-compassion on improving mental health outcomes of cancer patients.METHODS Literatures on randomized controlled trial studies of nursing intervention based on self-compassion applied to cancer patients were searched in Web of Science,PubMed,Embase,CINAHL,Cochrane Library,Science Direct,CNKI,Wanfang data,VIP and China Biomedical Literature Service System.The search period was from the establishment of the database to August 2023.Two researchers independently screened the literature,extracted data,and evaluated literature quality.RevMan5.2 software was used for Meta-analysis.RESULTS A total of 11 studies were included with 698 subjects.The results of meta-analysis showed that nursing interventions based on self-compassion significantly improved mindfulness level(SMD=0.66,95％CI[0.36,0.96],P＜0.001)and self-compassion level(SMD=0.55,95％CI[0.39,0.71],P＜0.001)in cancer patients,significantly alleviated anxiety(SMD=-0.53,95％CI[-1.05,-0.02],P=0.04)and depression(SMD=-0.26,95％CI[-0.43,-0.09],P=0.003).CONCLUSION Nursing intervention based on self-compassion can effectively improve the level of mindfulness and self-compassion in cancer patients,and alleviate anxiety and depression.
关键词
癌症/自我同情/护理干预/Meta分析/循证护理Key words
cancer/self-compassion/nursing intervention/Meta-analysis/evidence-based nursing引用本文复制引用
出版年
2024
NETL
NSTL
万方数据