对癌症患者积极心理干预的有效性:系统性审查和元分析
Xia Tian1, Xiaojun Zhou1, Mimi Sun1
1School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Journal of clinical nursing
|July 9, 2024
概括
积极的心理干预显著改善了癌症患者的生活质量和精神健康. 这些干预措施增强了积极的结果,如乐观,并减少了负面的结果,如抑郁.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 基于证据的医学基于证据的医学.
背景情况:
- 癌症患者经常经历心理困扰和生活质量下降.
- 积极心理干预 (PPI) 越来越多地被使用,但它们的集体影响需要综合.
研究的目的:
- 系统地审查和元分析PPI对癌症患者生活质量和心理结果的有效性.
主要方法:
- 系统审查和对29项遵循PRISMA指南的随机对照试验 (RCT) 的元分析.
- 搜索了六个英语和四个中文数据库,从创建到2022年12月.
- 使用Cochrane风险偏差工具评估偏差风险,并使用RevMan.Man分析数据.
主要成果:
- PPI显著改善了生活质量,并增强了积极的心理结果 (福祉,意义,自尊,乐观,弹性,自我效能).
- PPI有效地减轻了负面的心理结果,包括抑郁,焦虑和绝望.
- 由于不同类型的干预措施,在所有结果中发现了很高的异质性.
结论:
- 抗癌药物显示了改善癌症患者生活质量和心理健康的潜在好处.
- 需要进一步进行高质量的RCT,并进行长期随访,以确认发现并评估持续的影响.
- 医疗保健专业人员可以根据患者的需要考虑将PPI纳入癌症护理.
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