摘要
目的系统评价我国肺结节患者焦虑发生率及影响因素,为促进肺结节患者心理健康提供循证依据。方法计算机检索The Cochrane Library、Embase、PubMed、Web of Science、CNKI、Wan Fang Data、VIP、CBM数据库中从建库到2023年4月发表的有关中国肺结节患者焦虑发生率及影响因素的横断面研究。2名研究者独立完成文献筛选、资料提取和质量评价工作,分别运用Stata 15.0软件和Rev Man 5.4软件进行meta分析。结果共纳入12篇文献,包含4953例肺结节患者。Meta分析结果显示,我国肺结节患者焦虑发生率为45%(95%CI:32%~58%)。年龄[OR=0.80,95%CI(0.65~0.99)]、性别[OR=1.94,95%CI(1.48~2.56)]、症状[OR=1.75,95%CI(1.47~2.08)]、肺结节数量[OR=1.83,95%CI(1.30~2.56)]、肺结节大小[OR=2.12,95%CI(1.45~3.10)]、恶性肿瘤家族史[OR=1.77,95%CI(1.10~2.85)]、检查原因[OR=1.58,95%CI((1.23~2.03)]是焦虑的影响因素。结论我国肺结节患者焦虑发生率高,卫生保健人员需重点关注年龄较小、女性、有症状、肺结节数量较多、肺结节直径较大、有恶性肿瘤家族史和因身体不适就诊的肺结节患者,提供相应的心理和信息支持以完善癌症防治相关健康教育,促进患者心理健康。
Objective To evaluate the prevalence and influencing factors of anxiety in patients with pulmonary nodules in China.Methods Researchers retrieved cross-sectional studies about the prevalence and influencing factors of anxiety in Chinese patients with pulmonary nodules in the Cochrane Library,EmBase,PubMed,Web of Science,CNKI,Wanfang,VIP and CBM from the establishment of the database to April,2023.Two researchers independently conducted literature screening,quality evaluation and data extraction.Stata15.0 software and Rev Man5.4 software were used for meta-analysis.Results Twelve literature of 4953 patients were included.Meta-analysis showed that the prevalence of anxiety in Chinese patients with pulmonary nodules was 45%(95%CI:32%~58%).The influencing factors for anxiety were age[OR=0.80,95%CI(0.65~0.99)],gender[OR=1.94,95%CI(1.48~2.56)],symptoms[OR=1.75,95%CI(1.47~2.08)],number of pulmonary nodules[OR=1.83,95%CI(1.30~2.56)],size of pulmonary nodules[OR=2.12,95%CI(1.45~3.10)],family history of malignant tumors[OR=1.77,95%CI(1.10~2.85)],reason for examination[OR=1.58,95%CI(1.23~2.03)].Conclusion The prevalence of anxiety among patients with pulmonary nodules is relatively high in China.Healthcare professionals should focus on patients who are young,female,symptomatic,have a larger number of pulmonary nodules,have a larger diameter of pulmonary nodules,have a family history of malignant tumors,and seek medical advice due to physical discomfort.Intervention should be carried out as soon as possible to reduce the impact of anxiety on patients.
作者
姚丹
王国蓉
廖佳倩
邢乃芳
李松兰
王璐杉
YAO Dan(School of Nursing,Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China)
出处
《牡丹江医学院学报》
2023年第6期106-111,73,共7页
Journal of Mudanjiang Medical University
基金
四川省科技厅重点研发项目(2019YFS0296)。
关键词
肺结节
焦虑
发生率
影响因素
META分析
Pulmonary nodule
Anxiety
Prevalence
influencing factors
Meta-analysis
