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解决问题的疗法在改善患者精神健康,功能,生活质量和中风后死亡率方面的有效性:系统性审查

Ha Thi Le^1,2, Kenta Honma³, Hiroki Annaka³

¹Graduate School, Niigata University of Health and Welfare, Niigata 950-3198, Japan.

Behavioral sciences (Basel, Switzerland)

|June 26, 2024

概括

解决问题治疗 (PST) 可能会改善中风幸存者的心理健康和生活质量. 虽然它显示出改善抑郁和应对的潜力,但它对患者功能的影响仍然不清楚.

科学领域:

神经科学是一个神经科学.
心理学心理学心理学
康复医学康复医学康复医学

背景情况:

脑卒中经常导致心理痛苦,影响康复和生活质量.
问题解决疗法 (PST) 是一种潜在的干预措施,用于解决中风患者的这些心理问题.
在中风患者中PST的疗效需要进一步的系统评估.

研究的目的:

系统地审查中风患者解决问题的治疗 (PST) 的有效性.
评估PST对心理健康,功能,生活质量和死亡率的影响.
评估中风恢复中PST干预措施的证据质量.

主要方法:

在六个数据库 (Cochrane Library,PubMed,Scopus,CINAHL,NeuroBITE,OTseeker) 进行系统的文献搜索,截至2024年3月.
包括8项随机对照试验 (RCT),涉及1249名中风患者.
使用RoB 2工具评估研究质量,并使用GRADE系统对证据进行评分,遵守PRISMA指南.

主要成果:

五个RCT表明,PST可能会改善中风患者的抑郁症.
个别的RCT表明PST在改善焦虑,冷漠和应对机制方面的有效性.
四个RCT没有发现PST对患者功能有显著影响;对生活质量和死亡率的影响有建议,但需要更多的研究.

结论:

在中风幸存者中,解决问题的治疗显示出改善心理健康结果的潜力,包括抑郁,焦虑和应对.
PST可能会对生活质量和死亡率产生积极影响,尽管证据质量各不相同.
在本次综述中,PST对中风患者功能恢复的影响没有得到一致的证明.

关键词:

焦虑是一种焦虑.漠不关心漠不关心抑郁抑郁症抑郁症抑郁症抑郁症功能功能功能功能功能心理健康心理健康死亡率死亡率解决问题的治疗疗法人们的生活质量.一次性中风中风中风中风中风系统性审查系统性审查

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