关节炎自我管理项目对患者自我效能感和抑郁干预效果的系统评价

Effects of arthritis self-management programs on self-efficacy and depression level of patients:a systematic review

目的评价关节炎自我管理项目对患者自我效能感和抑郁的干预效果。方法检索Medline、Embase和CBMdisc数据库,收集符合纳入标准的关节炎自我管理项目随机对照试验,并进行文献质量评鉴和数据提取,依据重复测量多时间点Meta分析原则,采用RevMan5.0进行统计学处理。结果最终纳入16篇文献。Meta分析结果显示,关节炎自我管理项目组在4个月和12个月时的自我效能感得分均高于对照组,4个月时抑郁得分低于对照组,差异有统计学意义(均P<0.01)。结论关节炎自我管理项目能够提升患者的自我效能感,对改善抑郁也有短期效果。

Objective To explore effects of arthritis self-management programs（ASMPs） on self-efficacy and depression of arthritis patients by systematic review.Methods Three electronic databases,including Medline,Embase and CBMdisc,were used to search randomized controlled trials（RCTs）,which met the inclusion criteria,on ASMP.After quality appraisal of the retrieved papers and extraction of data,all time-points meta-analysis was performed by RevMan 5.0.Results Sixteen RCTs were included.Meta-analysis showed that,compared with the control group,self-management program group had significant improvements in scores of self-efficacy at 4 months and 12 months（P0.01 for both） and a significant reduction in depression score at 4 months（P0.01）.Conclusion ASMPs have a positive role in improving patients′ self-efficacy and alleviating depression in the short-term.