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心理教育干预对结直肠癌患者的影响:系统评价和荟萃分析。

Effects of Psycho-education Interventions on Colorectal Cancer Patients: A systematic review and meta-analysis.

机构信息

School of Nursing, Fujian Medical University, Fuzhou, China.

Research Center for Nursing Humanity, Fujian Medical University, Fuzhou, China.

出版信息

J Cancer Educ. 2023 Oct;38(5):1413-1419. doi: 10.1007/s13187-023-02349-x. Epub 2023 Aug 24.

Abstract

Colorectal cancer (CRC) patients not only undergo physical symptoms but also psychological suffering. Psycho-education interventions have been implemented widely to improve their psychological well-being. However, the effectiveness of psycho-education is unclear. Therefore, this research evaluates the effectiveness of psycho-education interventions on CRC patient outcomes and identifies effective intervention characteristics. The researchers searched the following databases: PubMed, Embase, PsycINFO, Cochrane, Medline, Web of Science, CINAHL, ProQuest, Wan Fang Data, Chinese National Knowledge Infrastructure, Chinese Biomedicine Database, and China Academic Journals Full-Text Database. Additionally, gray literature and bibliographies of the included studies were also searched. Finally, this review included 11 randomized controlled trials and one controlled clinical trial. The results showed that psycho-education interventions exerted positive impacts on relieving anxiety and depression, improving self-efficacy and quality of life for CRC patients either immediately, post-intervention, or at least 2 months after intervention. Despite the variety of psycho-education interventions, health education, stress management, coping skills training, and social support are also essential components. Future research should include multi-center studies with sufficient sample sizes and rigorous designs.

摘要

结直肠癌(CRC)患者不仅经历身体症状,还承受心理痛苦。心理教育干预已广泛实施,以改善他们的心理健康。然而,心理教育的效果尚不清楚。因此,本研究评估了心理教育干预对 CRC 患者结局的有效性,并确定了有效的干预特征。研究人员检索了以下数据库:PubMed、Embase、PsycINFO、Cochrane、Medline、Web of Science、CINAHL、ProQuest、万方数据、中国国家知识基础设施、中国生物医学文献数据库和中国学术期刊全文数据库。此外,还检索了纳入研究的灰色文献和参考文献。最终,本综述纳入了 11 项随机对照试验和 1 项对照临床试验。结果表明,心理教育干预对缓解 CRC 患者的焦虑和抑郁、提高自我效能感和生活质量具有积极影响,无论是在干预即刻、干预后还是至少干预后 2 个月。尽管心理教育干预形式多样,但健康教育、压力管理、应对技能培训和社会支持也是必不可少的组成部分。未来的研究应包括具有足够样本量和严格设计的多中心研究。

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