癌症患者心理弹性干预效果的meta分析

目的系统评价癌症患者心理弹性干预措施的效果。方法2018年1—12月检索有关癌症患者心理弹性干预的随机对照试验文献。在进行文献筛选、质量评价和资料提取后,采用RevMan 5.3软件进行meta分析。结果共纳入13篇文献,包括1234例研究对象。meta分析显示,心理弹性干预可显著提高癌症患者的心理弹性水平SMD=0.89,95%CI(0.77,1.00),P<0.001]。亚组分析结果显示团体小组干预SMD=0.92,95%CI(0.78,1.06),P<0.001]和个体化干预SMD=0.80,95%CI(0.45,1.15),P<0.001]均能改善对癌症患者的心理弹性。结论现阶段的随机对照试验临床证据表明心理弹性干预能提高癌症患者的心理弹性水平,采用团体干预或个体化干预方法均可。但因纳入随机对照研究数量有限,各研究评价指标不同、观察时间长短不一,心理弹性干预效果仍需大样本、设计严格的高质量研究予以验证。

Meta analysis of the effect of psychological resilience intervention in cancer patients

Objective To evaluate systematically the effects of psychological resilience interventions in cancer patients.Methods we retrieved randomized controlled trial literature on psychological resilience intervention of cancer patients from January to December 2018.After literature screening,quality evaluation and data extraction,RevMan 5.3 software was used for Meta analysis.Results A total of 13 literature were included,including 1,234 subjects.Meta analysis shows that psychological resilience intervention could significantly improve the level of psychological resilience of cancer patientsSMD=0.89,95%CI(0.77,1.00),P<0.001].The results of the analysis show that groups interventionSMD=0.92,95%CI(0.78,1.06),P<0.001]and individual interventionSMD=0.80,95%CI(0.45,1.15),P<0.001]could improve the psychological resilience of cancer patients.Conclusion The clinical evidence of randomized controlled trials at this stage indicated that the psychological resilience intervention could improve the level of psychological resilience of cancer patients.Either group intervention or individualized intervention could also be used.However,due to the limited number of randomized controlled studies included,the evaluation indexes of different studies were different,and the observation time was varying lengths,the effect of psychological elasticity intervention still needed to be verified by large samples and strictly designed high-quality studies.