摘要
目的运用循证医学系统评价的方法探讨心理干预对颅脑损伤后康复期患者焦虑及抑郁情绪的影响。方法通过计算机检索文献数据库包括Pubmed、Cochrane Library、Embase,中国生物医学文献数据库、中国知网、万方数据库、维普资讯等,时间设定为自建库至2017年1月,查找心理干预对颅脑损伤后患者焦虑及抑郁症状影响的文献。根据纳入及排除标准筛选出文献,提取数据,进行质量学评价,然后应用RevMan5.3软件对各项指标进行Meta分析。结果纳入5篇文献,样本总体质量偏低,共400个研究对象,其中心理干预组200例,对照组200例,心理干预组患者焦虑症状得分(95%Cl-1.17^-0.71,Z=8.07,P<0.001),抑郁症状得分(95%Cl-1.91^-1.44,Z=13.88,P<0.00001),与对照组相比差异具有统计学意义。结论心理干预可以减轻颅脑损伤后康复期患者的焦虑及抑郁状况,增进心理健康,提高了患者的生活质量,值得在临床推广使用。
Objective To explore the effect of psychological intervention on anxiety and depression in patients with craniocerebral injury for the method of a systematic review of evidence-based medicine.Methods Data were collected from the Cochrane Library,PubMed,Embase,China Biological Medicine Database,CNKI,Wanfang Database and VIP from the establishment of the databases to January 2017 to collect the correlation literature about the effect of psychological intervention on anxiety and depression in patients with brain injury.According to the inclusion and exclusion criteria,data were extracted for quality evaluation.RevMan 5.3 software could be used to conduct Meta-analyze for each indicator.Results In the end,there were 5 articals had been involved.The results showed that 5 studies were low qualified.A total of 400 people were enrolled,Psychological intervention group of 200 cases and the Control group of 200 cases.There were significance difference between psychological intervention group and Control group.The Psychological intervention group patients with anxiety symptoms score（95%Cl-1.17--0.71,Z=8.07,P〈0.001）,the Psychological group with depression symptoms score（95%Cl-1.91--1.44,Z=13.88,P〈0.00001）.Conclusion Psychological intervention can reduce the anxiety and depression of patients after craniocerebral injury,Improve the mental health and Improve the quality of life.It is worth to use clinical.
出处
《滨州医学院学报》
2017年第5期350-353,共4页
Journal of Binzhou Medical University
关键词
心理干预
颅脑损伤
心理护理
META分析
psychological intervention, brain injury, psychological care, Meta-analyze
