在膀癌中治疗后焦虑和抑郁症的密集护理干预:系统性审查和元分析
Xianzhi Huang1, Ruoxi Chen1, Zihang Guo1
1School of Basic Medicine, Putian University, No. 1133 Xueyuan Middle Street, No. 450 Dongzhen West Road, Chengxiang District, Putian, 351100, Fujian Province, China.
概括
焦虑和抑郁症影响超过25%的膀癌患者. 密集护理显著减少了这些心理症状,改善了患者的结果.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 护理研究 护理研究
背景情况:
- 治疗后的焦虑和抑郁是常见的,但在膀癌患者中经常被忽视.
- 在非西方人群和接受多式联络治疗的人群中,患病率可能更高.
研究的目的:
- 估计膀癌患者焦虑和抑郁症的综合患病率.
- 评估密集护理干预措施在管理这些心理症状方面的有效性.
主要方法:
- 对16项涉及1791名患者的研究进行了系统审查和元分析.
- 在PubMed,EMBASE,Cochrane图书馆和科学网上进行了搜索.
- 使用Stata/MP合成数据,计算标准化平均差异 (SMD) 和95%置信区间 (CI).
主要成果:
- 焦虑的综合流行率为25.3%,抑郁症为29.4%.
- 与常规护理相比,密集护理干预显著减少了焦虑 (SMD = -4.52) 和抑郁 (SMD = -4.51).
- 尽管存在大量的异质性,但研究结果还是强有力的.
结论:
- 焦虑和抑郁是膀癌幸存者的普遍问题.
- 强化护理干预措施在改善心理健康方面显示出显著的前景.
- 应考虑将这些干预措施纳入膀癌患者的支持性护理.
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