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对癌症护理者心理社会干预措施的系统评价

A Systematic Review of Psychosocial Interventions to Cancer Caregivers.

作者信息

Fu Fang, Zhao Huaijuan, Tong Feng, Chi Iris

机构信息

Department of Social Work, Fudan UniversityShanghai, China.

Anhui Normal UniversityWuhu, China.

出版信息

Front Psychol. 2017 May 23;8:834. doi: 10.3389/fpsyg.2017.00834. eCollection 2017.

Abstract

To systematically review the effect of psychosocial interventions on improving QoL, depression and anxiety of cancer caregivers. We conducted a systematic review of psychosocial interventions among adult cancer caregivers published from 2011 to 2016. PsycINFO, PubMed, Proquest, Cochrane Library, Embase, Applied Social Sciences Index and Abstracts (ASSIA), Cumulative Index to Nursing and Allied Health Literature, Social Sciences Citation Index (SSCI) and EBSCO, China National Knowledge Infrastructure (CNKI) and WANFANG were searched. Inclusion criteria were: randomized controlled trails (RCTs); psychosocial intervention to cancer caregivers; psychosocial health indicators including quality of life, depression or anxiety. 21 studies out of 4,666 identified abstracts met inclusion criteria, including 19 RCTs. The intervention modes fell into the following nine categories: family connect intervention, self-determination theory-based intervention (SDT), cognitive behavioral therapy (CBT), emotion-focused therapy (EFT), comprehensive health enhancement support system (CHESS), FOCUS programme, existential behavioral therapy (EBT), telephone interpersonal counseling (TIP-C), problem-solving intervention (COPE). paired-intervention targeting self-care and interpersonal connections of caregivers and symptom management of patients is effective in improving quality of life and alleviating depression of cancer caregivers while music therapy is helpful for reducing anxiety of cancer caregivers.

摘要

为系统评价心理社会干预对改善癌症照顾者生活质量、抑郁和焦虑状况的效果。我们对2011年至2016年发表的针对成年癌症照顾者的心理社会干预进行了系统评价。检索了PsycINFO、PubMed、Proquest、Cochrane图书馆、Embase、应用社会科学索引与摘要数据库(ASSIA)、护理及相关健康文献累积索引、社会科学引文索引(SSCI)和EBSCO、中国知网(CNKI)及万方数据库。纳入标准为:随机对照试验(RCT);针对癌症照顾者的心理社会干预;心理社会健康指标,包括生活质量、抑郁或焦虑。在4666篇检索到的摘要中,有21项研究符合纳入标准,其中包括19项随机对照试验。干预模式分为以下九类:家庭联系干预、基于自我决定理论的干预(SDT)、认知行为疗法(CBT)、以情绪为中心的疗法(EFT)、综合健康增强支持系统(CHESS)、FOCUS项目、存在主义行为疗法(EBT)、电话人际咨询(TIP-C)、问题解决干预(COPE)。针对照顾者自我护理和人际关系以及患者症状管理的配对干预,在改善癌症照顾者生活质量和缓解抑郁方面有效,而音乐疗法有助于减轻癌症照顾者的焦虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/227b/5443149/01db2f0185e2/fpsyg-08-00834-g0001.jpg

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