心理护理对乳腺癌患者术后焦虑抑郁以及生存质量影响的Meta分析

摘要

Objective:To evaluate the efficacy and safety of psychological nursing on anxiety,depression and quality of life of patients with breast cancer through a Meta-analysis.Methods:All randomized controlled trials about evaluating the efficacy and safety of psychological nursing on anxiety,depression and quality of life of patients with breast cancer were searched on the database of Cochrane Library,Medline,PubMed,Embase,Ovid,CBM,VIP,Wanfang data and CNKI.Methodological quality assessment of the included literatures was performed using Cochrane risk evaluation tool.Software Stata 12.0 was used for meta-analysis.Results:A total of eight literatures involving 750 patients were identified.The number of psychological group and control patients was 376 and 374 respectively.Compared with control group,the psychological group was associated with less Self-Rating Anxiety Scale (SAS) score,Self-rating Depression Scale (SDS) score and more global quality of life (GQL) score,the difference was statistically significant (P＜0.05).Conclusion:Psychological nursing can relieve anxiety and depression,and can improve the quality of life in breast cancer patients after surgery.%目的:通过Meta分析评价心理护理对乳腺癌患者生存质量的影响.方法:计算机检索CochraneLibrary,Medline,Embase,PubMed,Ovid等英文数据库以及中国生物医学文献数据库、维普中国科技期刊数据库、万方数据库及中国知网数据库中所有关于心理护理与乳腺癌患者术后焦虑和抑郁状态的关系及对生存质量影响的随机对照研究,使用Cochrane风险评估工具对纳入的文献进行方法学质量评价,使用Stata12.0进行Meta分析.结果:共纳入8篇文献,750例患者,其中心理护理376例,对照组374例.与对照组比较,心理护理可以明显减轻焦虑自评量表(Self-Rating Anxiety Scale,SAS)评分,抑郁自评量表(Self-rating Depression Scale,SDS)评分并增加乳腺癌患者术后整体生活质量量表(Global Quality of Life,GQL)评分,差异均有统计学意义(P＜0.05).结论:心理护理可以缓解乳腺癌患者术后焦虑以及抑郁,并可以改善患者术后生存质量.