减少严重精神疾病患者内化耻辱的非药物干预措施的有效性:系统性审查和元分析
Soyoung Kim1, Sun Hyoung Bae2, Myung-Sun Hyun2
1College of Nursing, Ajou University, Suwon, Korea.
Journal of Korean Academy of Nursing
|February 27, 2025
概括
非药物干预措施显著减少了严重精神疾病患者内在的耻辱感. 根据类型和持续时间量身定制干预措施,提高了它们的有效性,以获得更好的心理健康结果.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 基于证据的实践.
- 系统性审查和元分析
背景情况:
- 内化耻辱是严重精神疾病患者的重要障碍.
- 非药物干预为减少耻辱感提供了一个有希望的途径.
- 了解这些干预措施的有效性对于临床实践至关重要.
研究的目的:
- 系统地审查和分析非药物干预对内化耻辱的影响.
- 量化这些干预措施的整体效果大小.
- 确定调节干预效果的因素.
主要方法:
- 系统审查和元分析遵循柯克兰和PRISMA指南.
- 在多个数据库中搜索相关研究.
- 使用Cochrane风险偏差2.0工具评估偏差风险,并使用Hedges的g计算效应大小.
主要成果:
- 十五项研究 (在2,388项研究中) 被纳入了元分析.
- 观察到内部化耻辱的统计显著减少 (黑奇斯的g = -0.60).
- 干预类型和会话长度是有效性的显著调节者.
结论:
- 非药物干预措施有效地减少了内部化的耻辱感.
- 根据会话类型和持续时间量身定制干预措施可以提高结果.
- 研究结果支持制定针对心理健康护理的有针对性的策略.
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