儿童癌症患者的精神干预:系统性审查和元分析
Qi Liu1, Ling Jiang1, Ka Yan Ho1
1School of Nursing (Q.L., L.J., K.Y.H., K.K.W.L., W.L., F.Y., T.M., J.M.C.H., F.K.Y.W.), Hong Kong Polytechnic University, Hung Hom, Kowloon, HKSAR.
Journal of pain and symptom management
|March 22, 2024
概括
儿童癌症患者的精神干预没有显示出对生活质量,焦虑或抑郁的显著益处. 需要更严格的研究设计来有效评估这些精神干预.
科学领域:
- 儿科瘤学 儿科瘤学
- 综合医学是一个整体的医学.
- 心理社会护理 心理社会护理
背景情况:
- 在儿童癌症护理中,精神干预被认为是至关重要的.
- 缺乏对其有效性的系统评估.
- 这项研究解决了为儿童癌症患者 (CCP) 提供基于证据的精神支持的需求.
研究的目的:
- 为了确定精神干预的有效性.
- 评估CPC中的心理,精神和生活质量 (QoL) 结果.
- 综合现有关于对中共的精神护理研究的证据.
主要方法:
- 搜索了八个数据库,查找随机对照试验和准实验研究.
- 使用Cochrane风险偏差工具评估偏差风险.
- 通过随机效应模型进行了系统的叙事合成和元分析.
主要成果:
- 包括12项与576个CPC进行的研究;8项具有高偏差风险.
- 精神干预对 QoL (SMD=0.64,P=0.29),焦虑 (SMD=-0.83,P=0.28) 和抑郁 (SMD=-0.49,P=0.12) 没有显著影响.
- 研究之间的高度异质性 (I2=58-90%) 可能解释非显著的发现.
结论:
- 目前的证据不足以支持精神干预对中枢对手的心理和精神结果的积极影响.
- 未来的研究需要更严格的设计和标准化的结果措施.
- 减少偏见和异质性对于未来的评估至关重要.
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