Cui Ying, Li Yi-Xuan, Zhang Lian-Jie
Department of Thyroid Surgery Nursing, The First Hospital of Jilin University, Changchun, China.
Department of Outreach Work, The First Hospital of Jilin University, Changchun, China.
Medicine (Baltimore). 2025 Jan 17;104(3):e41334. doi: 10.1097/MD.0000000000041334.
This study aimed to investigate the effect of incentive nursing care (ICN) as a supplementary therapy to routine nursing care (RNC) on depression and anxiety (DA) in patients undergoing thyroid cancer (TC) surgery during the perioperative period (PPP).
A thorough search was conducted across various electronic databases, including PubMed, EMBASE, Cochrane Library, Chinese Biomedical Literature Database, WANGFANG, and China National Knowledge Infrastructure, spanning from their inception to October 1, 2023. The inclusion criteria were limited to randomized controlled trials focusing on the effects of ICN and RNC on DA in TC surgery during PPP. The primary outcomes assessed were depression, using the Self-Rating Depression Scale, and anxiety, measured by the Self-Rating Anxiety Scale. Additionally, the influence of ICN and RNC on the overall quality of life of the patients was evaluated using the Quality of Life Questionnaire-Core 30. Statistical analysis was carried out using RevMan 5.4 software.
This meta-analysis incorporated a total of 12 eligible trials encompassing 999 patients. The findings indicated that the combination of ICN and RNC yielded superior outcomes compared to RNC alone across various measures. Specifically, ICN plus RNC demonstrated significant improvements over RNC alone in terms of the Self-Rating Depression Scale (P < .001), Self-Rating Anxiety Scale (P < .001), and Quality of Life Questionnaire-Core 30 (physical function, role function, cognitive function, emotional function, social function, and overall quality of life) (P < .001).
The findings of this study demonstrate the considerable benefits of implementing ICN and RNC in the management of DA among patients with TC during PPP. However, it is crucial to interpret these results cautiously in light of the aforementioned limitations.
本研究旨在探讨激励性护理（ICN）作为常规护理（RNC）的补充疗法对甲状腺癌（TC）手术患者围手术期（PPP）抑郁和焦虑（DA）的影响。
全面检索了多个电子数据库，包括PubMed、EMBASE、Cochrane图书馆、中国生物医学文献数据库、万方和中国知网，检索时间跨度从各数据库建库至2023年10月1日。纳入标准仅限于聚焦ICN和RNC对PPP期间TC手术患者DA影响的随机对照试验。评估的主要结局包括使用自评抑郁量表评估的抑郁，以及使用自评焦虑量表测量的焦虑。此外，使用生活质量问卷核心30评估ICN和RNC对患者总体生活质量的影响。使用RevMan 5.4软件进行统计分析。
本荟萃分析共纳入12项符合条件的试验，涉及999例患者。结果表明，与单独的RNC相比，ICN和RNC联合使用在各项指标上均产生了更好的结果。具体而言，在自评抑郁量表（P <.001）、自评焦虑量表（P <.001）和生活质量问卷核心30（身体功能、角色功能、认知功能、情感功能、社会功能和总体生活质量）方面，ICN加RNC与单独的RNC相比有显著改善（P <.001）。
本研究结果表明，在PPP期间对TC患者进行DA管理时实施ICN和RNC有显著益处。然而，鉴于上述局限性，谨慎解读这些结果至关重要。
