中低收入国家心血管疾病患者的心理社会干预和心理健康：系统评价方案。
Psychosocial interventions and mental health in patients with cardiovascular diseases living in low and middle-income countries: A systematic review protocol.
机构信息
School of Nursing, Faculty of Applied Science, The University of British Columbia, Vancouver, Canada.
School of Nursing & Midwifery, Faculty of Health Sciences, The Aga Khan University, Karachi, Pakistan.
出版信息
PLoS One. 2022 Jul 28;17(7):e0271955. doi: 10.1371/journal.pone.0271955. eCollection 2022.
OBJECTIVE
The objective of this review is to evaluate the effectiveness of psychosocial interventions on mental health outcomes in adult patients with Cardiovascular Diseases (CVDs) living in low- and middle-income countries (LMICs).
INTRODUCTION
Mental health issues are highly prevalent among patients with CVDs leading to poor disease prognosis, self-care/ management, and Quality of Life (QOL). In the context of LMICs, where the disease burden and treatment gap are high and resources are inadequate for accessing essential care, effective psychosocial interventions can make significant contributions for improving mental health and reducing mental health problems among patients who live with cardiovascular diseases.
INCLUSION CRITERIA
This review will include studies published between 2010 and 2021 that evaluated the effect of psychosocial interventions on mental health outcomes (resilience, self-efficacy, QOL, depression and anxiety) on adult patients (aged ≥18 years) with any cardiovascular diseases using experimental and quasi experimental designs.
METHODS
The search will be conducted from the following databases: MEDLINE via OVID (1946-Present), EMBASE via OVID (1974 -Present), Cumulative Index for Nursing and Allied Health Literature (CINAHL) via EBSCOhost (1936-Present), PsycINFO via OVID (1806-Present), Scopus via Elsevier (1976-Present), and Cochrane Library via Wiley (1992-Present). Data will be critically appraised using standard tools and extracted by two reviewers and disagreement will be solved by the third reviewer. Meta-analysis will be performed, if possible, otherwise, data will be synthesized in narrative and tabular forms.
DISCUSSION
The findings of this review will provide a key insight into contextually relevant psychosocial interventions for promoting mental health of patients with CVDs living in LMICs. The review findings will be potentially useful for health care providers and researchers to implement such interventions not only for reducing the burden of mental health issues but also for improving the overall well-being among patients with chronic illnesses.
SYSTEMATIC REVIEW REGISTRATION NUMBER
Prospero-CRD42020200773.
目的
本综述的目的在于评估心理社会干预对中低收入国家（LMICs）成年心血管疾病（CVDs）患者心理健康结局的影响。
简介
心血管疾病患者的心理健康问题非常普遍，导致疾病预后不良、自我护理/管理和生活质量（QOL）下降。在中低收入国家，疾病负担和治疗差距大，资源不足，无法获得基本护理，有效的心理社会干预可以为改善心理健康和减少心血管疾病患者的心理健康问题做出重大贡献。
纳入标准
本综述将纳入发表于 2010 年至 2021 年的研究，这些研究评估了心理社会干预对使用实验和准实验设计的成年心血管疾病患者（年龄≥18 岁）心理健康结局（韧性、自我效能、QOL、抑郁和焦虑）的影响。
方法
检索将从以下数据库进行：MEDLINE 通过 OVID（1946 年至今）、EMBASE 通过 OVID（1974 年至今）、护理与联合健康文献累积索引（CINAHL）通过 EBSCOhost（1936 年至今）、PsycINFO 通过 OVID（1806 年至今）、Scopus 通过 Elsevier（1976 年至今）和 Cochrane 图书馆通过 Wiley（1992 年至今）。使用标准工具对数据进行批判性评价，由两名评审员进行提取，如有分歧则由第三名评审员解决。如果可能，将进行荟萃分析，否则将以叙述和表格形式综合数据。
讨论
本综述的研究结果将为在中低收入国家促进 CVD 患者心理健康的具有文化相关性的心理社会干预措施提供重要见解。综述结果对于卫生保健提供者和研究人员可能是有用的，不仅可以减轻心理健康问题的负担，还可以提高慢性病患者的整体健康水平。
系统评价注册号
Prospéro-CRD42020200773。
Zotero 插件