摘要
目的系统评价心理干预对我国康复期精神分裂症患者心理健康状况的改善效果,为对我国康复期精神分裂症患者实施有效的心理干预提供参考。方法检索Cochrane Library、PubMed、Web of Science、中国生物医学文献数据库、中国知网、万方数据库和维普数据库,检索时限为建库至2021年12月,收集对我国康复期精神分裂症患者实施心理干预的随机对照试验。评价纳入文献的偏倚风险后,采用RevMan 5.4.1进行Meta分析。结果共纳入文献13篇,包含1211例研究对象,其中对照组602例,试验组609例。Meta分析结果显示,接受心理干预后,试验组的症状自评量表(SCL-90)评分(WMD=-15.41,95%CI:-18.67~-12.16,P<0.01)、抑郁自评量表(SDS)评分(WMD=-9.07,95%CI:-10.38~-7.77,P<0.01)和焦虑自评量表(SAS)评分(WMD=-7.47,95%CI:-9.85~-5.10,P<0.01)均低于对照组,差异均有统计学意义。结论在药物治疗的基础上联用心理干预可能有助于改善我国康复期精神分裂症患者心理健康状况。
Objective To systematically evaluate the efficacy of psychological intervention on the mental health status of schizophrenia during rehabilitation in China,so as to provide references for the implementation of effective psychological intervention for patients.Methods Cochrane Library,Pub Med,Web of Science,Chinese Biomedical Literature Database,CNKI,Wanfang Database and VIP Database were retrieved for the randomized controlled trials(RCTs)related to the psychological intervention for patients with schizophrenia during rehabilitation in China published from the inception to December 2021.After the assessment of risk of bias in literatures included,Meta-analysis was performed by using Rev Man 5.4.1 software.Results A total of 1211 subjects in13 RCTs were enrolled,including 602 cases in the control group and 609 in the intervention group.Meta-analysis denoted that intervention group had lower scores of Symptom Checklist 90(SCL-90)(WMD=-15.41,95%CI:-18.67~-12.16,P<0.01),Selfrating Depression Scale(SDS)(WMD=-9.07,95%CI:-10.38~-7.77,P<0.01)and Self-rating Anxiety Scale(SAS)(WMD=-7.47,95%CI:-9.85~-5.10,P<0.01)than those of control group after intervention,and the difference was statistically significant.Conclusion Application of psychological intervention based on drug therapy has certain efficacy on improving mental health status in patients with schizophrenia during rehabilitation in China.
作者
艾力帕提·太来提
尼罗帕
马晶
汪惠才
Ailipati Tailaiti;Niluopa;Ma Jing;Wang Huicai(School of Health Management,Xinjiang Medical University,Urumqi 830054,China;The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)
出处
《四川精神卫生》
2022年第3期250-256,共7页
Sichuan Mental Health
基金
新疆维吾尔自治区自然科学基金资助项目(项目名称:心理健康管理大数据技术在护理人员工作场所心理暴力中的应用与评价,项目编号:2020D01C241)。
关键词
精神分裂症
康复期
心理干预
心理健康状况
META分析
随机对照试验
Schizophrenia
Remission
Psychological intervention
Mental health status
Meta-analysis
Randomized controlled trial
