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护士提供的针对心理健康问题患者的心理社会和心理治疗干预措施的疗效:随机对照试验的荟萃分析

The Efficacy of Nurse-Delivered Psychosocial and Psychotherapeutic Interventions for Individuals With Mental Health Issues: A Meta-Analysis of Randomised Controlled Trials.

作者信息

Uzun Sevda, Emirza Elif Güzide, Gülırmak Güler Kübra

机构信息

Department of Nursing/Psychiatric Nursing, Faculty of Health Sciences, Gümüşhane University, Gümüşhane, Türkiye.

Department of Nursing/Psychiatric Nursing, Faculty of Health Sciences, Ondokuz Mayıs University, Samsun, Türkiye.

出版信息

Scand J Caring Sci. 2025 Jun;39(2):e70036. doi: 10.1111/scs.70036.

Abstract

BACKGROUND

Nurses are among the most interactive professionals in society, providing both care and psychosocial and psychotherapeutic interventions for individuals with mental health issues. Nurse-centred approaches have demonstrated a positive impact on addressing mental health issues.

AIM

This study aimed to evaluate the effectiveness of psychosocial and psychotherapeutic interventions administered by nurses in managing mental health issues.

METHODS

For this meta-analysis, data were gathered through a comprehensive search of databases, including PubMed, Web of Science, EBSCOhost, Google Scholar and the YÖK Thesis Center, with no restrictions on publication year. Following the review process, a total of 25 studies were included in the analysis. The PRISMA checklist was employed to guide our study.

RESULTS

The meta-analysis revealed that interventions implemented by nurses in the context of mental health were effective. Specifically, the psychosocial and psychotherapeutic interventions significantly reduced depression levels in individuals (SMD: -0.918, 95% CI: -1.350 to -0.486; Z = -4.161; p < 0.05) and anxiety levels (SMD: -0.61, 95% CI: -1.190 to -0.029; Z = -2.59; p < 0.05). Additionally, these interventions were associated with an improvement in individuals' quality of life (SMD: 0.673, 95% CI: 0.303-1.403; Z = 3.56; p < 0.05).

CONCLUSION

Nurses can play a pivotal role in addressing mental health issues, effectively contributing to the reduction of anxiety and depression levels while enhancing the overall quality of life for individuals.

摘要

背景

护士是社会中互动性最强的专业人员之一,为有心理健康问题的个体提供护理以及心理社会和心理治疗干预。以护士为中心的方法已证明对解决心理健康问题有积极影响。

目的

本研究旨在评估护士实施的心理社会和心理治疗干预在管理心理健康问题方面的有效性。

方法

对于这项荟萃分析,通过全面检索数据库收集数据,包括PubMed、科学网、EBSCOhost、谷歌学术和土耳其高等教育委员会论文中心,对出版年份无限制。经过评审过程,共25项研究纳入分析。采用PRISMA清单指导我们的研究。

结果

荟萃分析表明,护士在心理健康背景下实施的干预是有效的。具体而言,心理社会和心理治疗干预显著降低了个体的抑郁水平(标准化均数差:-0.918,95%置信区间:-1.350至-0.486;Z = -4.161;p < 0.05)和焦虑水平(标准化均数差:-0.61,95%置信区间:-1.190至-0.029;Z = -2.59;p < 0.05)。此外,这些干预与个体生活质量的改善相关(标准化均数差:0.673,95%置信区间:0.303 - 1.403;Z = 3.56;p < 0.05)。

结论

护士在解决心理健康问题方面可发挥关键作用,有效促进焦虑和抑郁水平的降低,同时提高个体的整体生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be34/12138741/6296754e65bf/SCS-39-0-g005.jpg

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