反射学对接受开放心脏手术的患者焦虑的影响:随机对照试验的系统审查和元分析
Necibe Dağcan Şahin1, Selçuk Görücü2
1Nursing Department, Faculty of Health Sciences, Kutahya Health Sciences University, Kutahya, Turkey.
The journal of nursing research : JNR
|January 23, 2026
概括
反射疗法在接受开放心脏手术的患者中显著降低了焦虑. 这种非药理学方法可能是标准护理的宝贵补充,但由于研究异质性,需要进一步研究.
科学领域:
- 综合医学是一个整体的医学.
- 手术患者护理手术患者护理
- 精神病体医学是一种精神病体医学.
背景情况:
- 开放心脏手术的恢复可能会因患者的焦虑而延长和复杂.
- 像反射疗法这样的非药物干预措施提供了潜在的焦虑缓解,没有不良影响.
- 患者的焦虑是影响心脏手术恢复的重要因素.
研究的目的:
- 系统地审查和分析反射疗法的有效性,以减少心脏手术患者的焦虑.
- 评估反射疗法作为手术患者的补充疗法.
- 综合现有的关于反射学对外科手术前焦虑的影响证据.
主要方法:
- 随机对照试验的系统审查和元分析.
- 在多个数据库 (PubMed, EBSCO, OVID, Web of Science, Cochrane) 进行了搜索,截至2024年7月.
- 使用乔安娜·布里格斯研究所检查清单进行评估的研究;使用综合元分析 V2.2 进行的元分析.
主要成果:
- 包括8项涉及485名患者的研究.
- 反射疗法证明了患者焦虑的统计显著减少 (g=-1.49,p=.001).
- 与标准护理或安慰剂组相比,干预组表现出明显较低的焦虑.
结论:
- 反射疗法显示出作为一种有效的辅助疗法的潜力,用于减少心脏外科手术患者的焦虑.
- 研究之间显著的异质性需要谨慎地解释结果.
- 需要进一步的高质量,均的研究来证实反射疗法的有效性在这个人群.
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