非药物干预对接受结肠镜检查的患者焦虑的影响:随机对照试验的网络元分析
Yun-Shan Chen1, Ge-Hui Feng1, Qian-Qian Yue1
1Department of International and Humanistic Nursing, Hunan Science Popularization Education Base, School of Nursing, Hengyang Medical School, University of South China, Hengyang, China.
Journal of psychosomatic research
|March 5, 2025
概括
个人教育和视频信息是减少结肠镜检查焦虑的最有效的非药物战略. 这些干预措施为接受手术的患者提供了比标准护理更大的好处.
科学领域:
- 胃肠病学 胃肠病学
- 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:
- 焦虑是接受结肠镜检查的患者的一个普遍问题.
- 识别有效的非药物干预措施对于程序性焦虑至关重要.
研究的目的:
- 评估和对各种非药物干预措施的疗效进行排名,以减少接受结肠镜检查的患者的焦虑.
- 为这个患者群体确定最有效的减轻焦虑的策略.
主要方法:
- 在多个数据库 (PubMed,Cochrane Library,Embase,Web of Science,Medline) 进行了系统的搜索.
- 包括到2024年3月发表的随机对照试验 (RCT).
- 使用R 4.3.0.0中的"gemtc"包进行了网络元分析.
主要成果:
- 分析包括24个RCT与2525名参与者,评估了9个非药物干预措施.
- 个人教育 (SUCRA: 92.5%) 和视频信息 (SUCRA: 87.7%) 被列为最有效的干预措施.
- 与标准护理相比,在音乐,视听分心,视频信息,个人教育和电方面观察到有统计学意义的焦虑减轻.
结论:
- 个人教育和视频信息在减轻结肠镜检查期间的焦虑方面表现出卓越的有效性.
- 这些发现为医疗保健从业人员在选择减少焦虑的策略时提供了基于证据的指导.
- 这项研究强调了非药理学方法在治疗患者在内镜手术期间的焦虑时的重要性.
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