心理干预对冠心病介入治疗患者焦虑和抑郁影响的Meta分析
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摘要
目的系统评价心理干预对冠心病介入患者焦虑及抑郁情绪的影响。方法利用计算机联合检索中国期刊全文数据库(CNKI)、万方医学网、维普、Web of Science数据库、the Cochrane Library和Pub Med等数据库,收集公开发表的与本研究相关的有关心理干预对冠心病介入治疗患者焦虑和抑郁影响的中、英文文献,运用Review Manager 5.3及Stata12.0软件,计算干预组与对照组焦虑与抑郁评分的加权均数差(WMD)及其相应95%CI,用以评价2组焦虑和抑郁发生率的差异。结果纳入16项随机对照试验,共1 478例冠心病介入治疗患者,其中干预组754例,对照组724例。结果显示,心理干预相对于对照组可有效改善冠心病介入患者焦虑与抑郁症状,其焦虑与抑郁评分的合并WMD值及相应95%CI分别为-8.38(-9.75,-7.01)和-8.64(-9.37,-7.91),差异均具有统计学意义(P<0.001)。结论对于冠心病介入治疗患者,在进行常规药物治疗的前提下,对其进行心理干预可有效改善患者的焦虑和抑郁情绪,提高心理承受能力,改善生活质量,值得在临床进行推广与应用。
Objective To analyze the effect of psychological intervention on anxiety and depression in patients with coronary heart disease undergoing interventional therapy.Methods The database was retrieved by computer at home and abroad,to find the related literature.Extracting the cases of emergency group and selective group and the mean and standard as the basic information,which were analyzed by Review Manager 5.3 and Stata12.0 software,comparing the intervention group with the control group on the difference of Zung self-rating Anxiety Scale(SAS) and Zung self-rating Depression Scale(SDS) score.Results A total of 16 randomized controlled trials involving 1 478 patients with coronary intervention,including 754 in the intervention group and 724 in the control group.Meta-analysis results showed that psychological intervention on anxiety and depression in patients with coronary heart disease can effectively improve the combined WMD value,and the corresponding95%CI,they were-8.38(-9.75,-7.01) and-8.64(-9.37,-7.91) separately,the differences were statistically significant(P<0.001).Conclusion In the premise of routine drug therapy,psychological intervention on anxiety and depression on patients receiving interventional treatment of coronary heart disease can improve psychological ability,improve the quality of life and be worthy of clinical promotion and application.
Objective To analyze the effect of psychological intervention on anxiety and depression in patients with coronary heart disease undergoing interventional therapy.Methods The database was retrieved by computer at home and abroad,to find the related literature.Extracting the cases of emergency group and selective group and the mean and standard as the basic information,which were analyzed by Review Manager 5.3 and Stata12.0 software,comparing the intervention group with the control group on the difference of Zung self-rating Anxiety Scale(SAS) and Zung self-rating Depression Scale(SDS) score.Results A total of 16 randomized controlled trials involving 1 478 patients with coronary intervention,including 754 in the intervention group and 724 in the control group.Meta-analysis results showed that psychological intervention on anxiety and depression in patients with coronary heart disease can effectively improve the combined WMD value,and the corresponding95%CI,they were-8.38(-9.75,-7.01) and-8.64(-9.37,-7.91) separately,the differences were statistically significant(P<0.001).Conclusion In the premise of routine drug therapy,psychological intervention on anxiety and depression on patients receiving interventional treatment of coronary heart disease can improve psychological ability,improve the quality of life and be worthy of clinical promotion and application.
引文
[1]郑淑梅,杨秀兰.唐山市冠心病患者生存质量调查及其相关因素分析[J].现代预防医学,2016,43(8):1363-1367.
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[6]岳素梅,宫洁,张连枝.心理干预对PCI患者围手术期焦虑和抑郁以及术后并发迷走神经反射的影响[J].求医问药(学术版),2012,10(10):313.
[7]张婉斌,杨聃.心理干预对冠心病介入患者焦虑抑郁的影响分析[J].临床医药文献电子杂志,2015,2(17):3423-3423,3426.
[8]Zhang P.Study of anxiety/depression in patients with coronary heart disease after percutaneous coronary intervention[J].Cell Biochemistry and Biophysics,2015,72(2):503-507.
[9]邱琛茗.68例冠心病介入治疗心理护理分析[J].实用心脑肺血管病杂志,2010,18(7):924-925.
[10]席建军,卢亚巍.心理干预对冠心病介入术后抑郁障碍的影响[J].内蒙古医学杂志,2009,41(11):1310-1311.
[11]李梅香.心理干预对冠心病介入治疗患者的影响[J].中国健康心理学杂志,2005,13(4):297-298.
[12]尚瑞平,杨艳杰.心理干预对冠心病介入治疗患者的影响[J].中国医药科学,2014,4(17):126-128.
[13]王建国,吴穗玲,陈广阳.心理干预对冠心病介入治疗患者的影响[J].中国健康心理学杂志,2007,15(5):442-443.
[14]黄娥娥.心理干预对冠心病介入治疗患者焦虑抑郁的影响[J].吉林医学,2009,30(12):1098-1099.
[15]李素新,孙秀红,周云慧.心理干预对冠状动脉介入治疗患者围术期抑郁的影响[J].中国美容医学,2012,21(18):625.
[16]薛华,刘翠霞,李彩英.心理干预对老年冠心病介入治疗患者焦虑抑郁情绪的影响[J].现代中西医结合杂志,2009,18(23):2832-2833.
[17]刘梅莹.心理干预对老年冠心病介入治疗焦虑抑郁情绪的影响[J].疾病监测与控制,2012,6(11):702-703.
[18]戎伟,李凌,李君利.心理干预对老年冠心病介入治疗焦虑抑郁情绪障碍的影响[J].中国实用医药,2009,4(33):214-216.
[19]杨素梅.心理干预对老年人冠心病介入治疗患者情绪障碍的影响[J].山东医学高等专科学校学报,2016,38(1):71-73.
[20]Valiee S,Razavi NS,Aghajani M,et al.Effectiveness of a psychoeducation program on the quality of Life in patients with coronary heart disease:A clinical trial[J].Applied Nursing Research:ANR,2017,33:36-41.
[21]许倩,胡弘毅,贾艳梅.健康教育联合心理干预对冠心病介入治疗伴焦虑抑郁患者的影响[J].世界最新医学信息文摘,2017,(9):201-202.
[22]孙裕华,陶秀彬,吴赞芳,等.心理干预对冠心病病人负性心理影响的Meta分析[J].护理研究,2010,24(24):2243-2245.
[2]Anderson L,Brown JP,Clark AM,et al.Patient education in the management of coronary heart disease[J].The Cochrane Database of Systematic Reviews,2017,6(期缺失):CD008895.
[3]谢玉霞,骆登峰,张静,等.心理干预对冠心病介入治疗后焦虑、抑郁影响研究[J].现代诊断与治疗,2017,28(2):315-317.
[4]陈娓,李予文,娄百玉,等.冠心病介入治疗患者情绪障碍及心理干预研究[J].中国行为医学科学,2004,13(2):163-164.
[5]Aghaei M,Samkhaniyan E,Mahdavi A,et al.Effectiveness of behavioral-cognitive group therapy on depression,anxiety,and stress of patients with coronary heart disease[J].Journal of Medicine and Life,2015,8(Spec Iss 4):252-257.
[6]岳素梅,宫洁,张连枝.心理干预对PCI患者围手术期焦虑和抑郁以及术后并发迷走神经反射的影响[J].求医问药(学术版),2012,10(10):313.
[7]张婉斌,杨聃.心理干预对冠心病介入患者焦虑抑郁的影响分析[J].临床医药文献电子杂志,2015,2(17):3423-3423,3426.
[8]Zhang P.Study of anxiety/depression in patients with coronary heart disease after percutaneous coronary intervention[J].Cell Biochemistry and Biophysics,2015,72(2):503-507.
[9]邱琛茗.68例冠心病介入治疗心理护理分析[J].实用心脑肺血管病杂志,2010,18(7):924-925.
[10]席建军,卢亚巍.心理干预对冠心病介入术后抑郁障碍的影响[J].内蒙古医学杂志,2009,41(11):1310-1311.
[11]李梅香.心理干预对冠心病介入治疗患者的影响[J].中国健康心理学杂志,2005,13(4):297-298.
[12]尚瑞平,杨艳杰.心理干预对冠心病介入治疗患者的影响[J].中国医药科学,2014,4(17):126-128.
[13]王建国,吴穗玲,陈广阳.心理干预对冠心病介入治疗患者的影响[J].中国健康心理学杂志,2007,15(5):442-443.
[14]黄娥娥.心理干预对冠心病介入治疗患者焦虑抑郁的影响[J].吉林医学,2009,30(12):1098-1099.
[15]李素新,孙秀红,周云慧.心理干预对冠状动脉介入治疗患者围术期抑郁的影响[J].中国美容医学,2012,21(18):625.
[16]薛华,刘翠霞,李彩英.心理干预对老年冠心病介入治疗患者焦虑抑郁情绪的影响[J].现代中西医结合杂志,2009,18(23):2832-2833.
[17]刘梅莹.心理干预对老年冠心病介入治疗焦虑抑郁情绪的影响[J].疾病监测与控制,2012,6(11):702-703.
[18]戎伟,李凌,李君利.心理干预对老年冠心病介入治疗焦虑抑郁情绪障碍的影响[J].中国实用医药,2009,4(33):214-216.
[19]杨素梅.心理干预对老年人冠心病介入治疗患者情绪障碍的影响[J].山东医学高等专科学校学报,2016,38(1):71-73.
[20]Valiee S,Razavi NS,Aghajani M,et al.Effectiveness of a psychoeducation program on the quality of Life in patients with coronary heart disease:A clinical trial[J].Applied Nursing Research:ANR,2017,33:36-41.
[21]许倩,胡弘毅,贾艳梅.健康教育联合心理干预对冠心病介入治疗伴焦虑抑郁患者的影响[J].世界最新医学信息文摘,2017,(9):201-202.
[22]孙裕华,陶秀彬,吴赞芳,等.心理干预对冠心病病人负性心理影响的Meta分析[J].护理研究,2010,24(24):2243-2245.