中国护士症状自评量表评价结果的Meta分析

A meta-analysis of Symptom Checklist-90 assessment results in Chinese nurses

目的了解症状自评量表在护士人群中的应用情况。方法检索2007年1月-2016年12月，运用症状自评量表（SCL-90）调查护士人群心理健康状况的相关中文文献，纳入文献129篇，有效样本178组，调查对象涉及全国27个省市共计36 316人。利用R 3.2.1软件metafor软件包进行meta分析和数据统计。结果纳入文献数据的9个因子数据均存在异质性（Q检验P〈0.05；I^2值〉40%），选用随机效应模型。除人际关系因子外，其他因子合并效应量95%置信区间均不包含0。除人际关系（Egger检验P〈0.05）外，其余因子漏斗图均未出现明显的不对称或者不完整。各因子的失安全系数均远大于5K＋10。9个因子的得分合并值，各因子的均值均大于全国常模。结论在护士群体的心理状况研究中SCL-90应用较为广泛，但是缺乏护士群体SCL-90常模作为相应评价参考。

ObjectiveTo investigate the application of Symptom Checklist-90（SCL-90）in Chinese nurses.MethodsWe performed a literature search for articles in Chinese on the mental health of nurses investigated using the SCL-90 that were published from January 2007 to December 2016.A total of 129 articles were included,involving 178 groups of valid samples as well as 36316 subjects in 27 provinces or cities in China.The metafor package of R 3.2.1 software and Excel were used for meta-analysis and data statistics.ResultsHeterogeneity was identified for the nine factors included in the literature data（Q test：P〈0.05;I^2 test 〉40%）,so a random effects model was used.For all factors except interpersonal relationship factor,the 95% confidence intervals of the pooled effect sizes did not include 0.For all factors except interpersonal relationship factor（Egger test：P〈0.05）,no significant asymmetry or incompleteness appeared in the funnel plots.The fail-safe number of each factor was much larger than 5k＋10.The merger scores and mean values of nine factors were higher than the national norm.ConclusionThe SCL-90 is widely used in the study of mental status of Chinese nurses,but the SCL-90 norm for nurses is lacking.