Ramos Sílvia, Gomes Aramid, Rosinhas Ana, Silva Rosa, Goes Margarida, Sampaio Francisco
Nursing Department, University of Évora, Évora, Portugal.
Local Health Unit of Corvo Island, Corvo Island, Portugal.
JBI Evid Synth. 2025 Jun 1;23(6):1228-1235. doi: 10.11124/JBIES-24-00335. Epub 2025 Jun 6.
The objective of this review is to evaluate the effectiveness of combined physical and psychological interventions for anxiety and depression symptoms in adult patients with chronic obstructive pulmonary disease (COPD).
By 2030, COPD is expected to be the third-leading cause of death and the seventh-leading cause of health problems in terms of overall health impact, measured in disability-adjusted life years. As with other comorbidities, anxiety and depressive disorders influence the prognosis. Combined physical and psychological interventions may have better results than isolated interventions for symptoms of anxiety and depression in patients with COPD.
Studies of adult patients with COPD and anxiety and depression symptoms who have undergone combined physical and psychological interventions will be considered for inclusion. This review will primarily include randomized controlled trials.
Articles will be searched in CINAHL (via EBSCOhost), Cochrane Central Register of Controlled Trials, Academic Search Complete, Psychology and Behavioral Sciences Collection (via EBSCOhost), APA PsycINFO, PubMed, Web of Science Core Collection, and Scopus. Two independent reviewers will select the studies and apply the JBI tools for critical appraisal and data extraction. Studies will be pooled in a meta-analysis whenever possible. The χ 2 test and I 2 statistics will be the standard tools for assessing heterogeneity. Statistical analyses will be carried out using the random-effects model. The fixed-effects model will be applied if there is low heterogeneity between included studies ( I 2 < 50, or P ≥ 0.5). The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach will be used to grade the certainty of the evidence, and a Summary of Findings will be presented.
PROSPERO CRD42024550523.
本综述的目的是评估综合物理和心理干预对成年慢性阻塞性肺疾病（COPD）患者焦虑和抑郁症状的有效性。
到2030年，以伤残调整生命年衡量，COPD预计将成为第三大致死原因和第七大健康问题原因。与其他合并症一样，焦虑和抑郁障碍会影响预后。对于COPD患者的焦虑和抑郁症状，综合物理和心理干预可能比单独干预产生更好的效果。
将考虑纳入对患有COPD且有焦虑和抑郁症状的成年患者进行综合物理和心理干预的研究。本综述将主要包括随机对照试验。
将在CINAHL（通过EBSCOhost）、Cochrane对照试验中心注册库、学术搜索完整版、心理学与行为科学合集（通过EBSCOhost）、美国心理学会心理学文摘数据库、PubMed、科学引文索引核心合集和Scopus中检索文章。两名独立评审员将选择研究，并应用JBI工具进行批判性评价和数据提取。只要有可能，研究将合并进行荟萃分析。χ2检验和I2统计量将作为评估异质性的标准工具。将使用随机效应模型进行统计分析。如果纳入研究之间的异质性较低（I2<50，或P≥0.5），将应用固定效应模型。将使用推荐分级、评估、制定和评价（GRADE）方法对证据的确定性进行分级，并给出结果总结。
PROSPERO CRD42024550523。
