摘要
[目的]系统评价积极心理干预对炎症性肠病病人心理状况以及生活质量的影响。[方法]计算机检索PubMed、EMbase、The Cochrane Library(2017年第6期)、CINAHL、APA、CBM、VIP、WanFang Data和CNKI数据库中有关积极心理干预措施对炎症性肠病病人心理状况以及生活质量的随机对照试验(RCT),检索时限均从建库至2017年6月23日。由两名研究者按照纳入及排除标准独立筛选文献、提取资料、评价纳入文献的偏倚风险并进行交叉核对,最后用RevMan 5.3软件进行Meta分析。[结果]共纳入6项RCT,涉及535例病人。Meta分析结果显示,与常规护理/心理护理相比,积极心理干预措施在干预结束后可即刻改善炎症性肠病病人的焦虑[SMD=-0.37,95%CI(-0.60,-0.14),P=0.001]、抑郁[SMD=-0.82,95%CI(-1.64,-0.00),P=0.05]和正念水平[SMD=0.65,95%CI(0.19,1.11),P=0.005],但未改善生活质量(P>0.05);干预后6个月,积极心理干预组与对照组相比,正念水平仍有改善[SMD=0.48,95%CI(0.09,0.87),P=0.02],但焦虑和抑郁改善差异无统计学意义(P>0.05)、生活质量和感知压力水平差异亦无统计学意义(P>0.05)。[结论]与常规护理/心理护理相比,积极心理干预措施可有效改善炎症性肠病病人的焦虑、抑郁情绪和正念水平,但对生活质量和感知压力水平的改善效果不明显。
Objective:To systematically evaluate the effects of positive psychological interventions on the psychological status and quality of life of patients with inflammatory bowel disease.Methods:The randomized controlled trial(RCT)literatures on the effect of positive psychological interventions on psychological status and quality of life of patients with inflammatory bowel disease were retrieved from PubMed,Embase,The Cochrane Library(6th issue 2017),CINAHL,APA,CBM,VIP,WanFang Data and CNKI databases from the establishment of the library to June 23,2017.Two investigators independently screened the literatures,extracted the data,evaluated the risk of bias in the included literatures,and cross checked according to the inclusion exclusion criteria.Finally,the meta analysis was performed using RevMan 5.3 software.Results:A total of 6 RCTs were involved,including 535 patients.Meta analysis showed that compared with conventional nursing/psychological care,positive psychological interventions could immediately improve the anxiety[SMD=-0.37,95%CI(-0.60,-0.14),P=0.001],depression[SMD=-0.82,95%CI(-1.64,-0.00),P=0.05],and mindfulness level[SMD=0.65,95%CI(0.19,1.11),P=0.005]in patients with inflammatory bowel disease after the intervention,but not improve the quality of life(P>0.05).More than 6 months after the intervention,the mindfulness level in positive psychological intervention group was still improved compared with the control group[SMD=0.48,95%CI(0.09,0.87),P=0.02].However,there was no significant difference in anxiety and depression improvement(P>0.05),also no significant difference in the quality of life and perceived stress(P>0.05).Conclusions:Compared with conventional nursing/psychological nursing,positive psychological intervention could effectively improve the anxiety,depression,and mindfulness level of patients with inflammatory bowel disease,while the improvement effect on quality of life and perceived stress was not obvious.
作者
尚星辰
林征
罗丹
卞秋桂
王美峰
Shang Xingchen;Lin Zheng;Luo Dan(Nursing College of Nanjing Medical University,Jiangsu 210029 China)
出处
《护理研究》
北大核心
2018年第20期3229-3235,共7页
Chinese Nursing Research
基金
江苏省六大人才高峰项目
编号:WSW-030
关键词
积极心理干预
炎症性肠病
系统评价
焦虑
抑郁
生活质量
正念水平
positive psychological intervention
inflammatory bowel disease
systematic review
anxiety
depression
quality of life
mindfulness level
