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积极心理干预在心脏病病人中应用效果的Meta分析 被引量:2

Application effects of positive psychology intervention in patients with heart disease:a Meta-analysis
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摘要 [目的]通过Meta分析评价积极心理干预在心脏病病人中的应用效果。[方法]计算机检索国内外积极心理干预对心脏病病人精神、心理健康影响的随机对照试验,对所得文献根据纳入和排除标准进行筛选,提取数据并进行整合,经质量评价后,采用RevMan5.3软件进行Meta分析。[结果]共纳入5项随机对照试验。Meta分析结果显示,积极心理干预可提高病人的积极事件影响[MD=2.70,95%CI(2.23,3.16),P<0.00001]、降低消极事件影响[MD=-0.76,95%CI(-1.17,-0.34),P=0.0003]、降低焦虑水平[MD=-0.52,95%CI(-2.42,-0.61),P=0.001]。[结论]积极心理干预有助于心脏病病人发现、利用自身的内在资源,降低负性事件的影响,增强个体的积极情绪体验。由于本研究部分评价指标存在异质性,且各评价指标纳入的符合标准的研究也不足。因此,需要更多临床多中心、大样本、高质量的研究进一步评价积极心理干预应用于心脏病病人中的效果。 Objective: To evaluate application effects of positive psychology intervention (PPI) in patients with heart disease by Meta-analysis. Methods: Randomized controlled trials (RCT)involving effects of PPT on mental health of patients with heart disease were searched through computers in both Chinese and English databases.All those literature reviews were screened according to the inclusion criteria as well as the exclusion criteria.Datas were extracted and integrated,then were analyzed through Meta-analysis by using RevMan 5.3 software. Results:A total of 5 RCTs were included in this experiment.The results of Meta-analysis showed that positive psychology intervention can improve positive effect [MD=2.70,95% CI(2.23,3.16),P <0.000 01],reduce negative effect[MD=-0.76, 95% CI (-1.17,-0.34), P =0.000 3] and reduce anxiety[MD=-0.52,95% CI (-2.42,-0.61), P =0.001] compared with control group had significantly statistical difference. Conclusions: PPI can help patients with heart disease to discover and use their own internal resources,reduce the impact of negative events,and enhance the individual′s positive emotional experience.But limits to small number of included studies and heterogeneity of indicators,multi-centered,high-quality RCTs with large sample size are needed to assess the effects of PPI in patients with heart disease in the future.
作者 赖敏华 陈凌 李静芝 申铁梅 霍培霞 LAI Minhua;CHEN Ling;LI Jingzhi;SHEN Tiemei;HUO Peixia(Guangdong Pharmaceutical University,Guangdong 510006 China)
出处 《循证护理》 2019年第7期577-585,共9页 Chinese Evidence-Based Nursing
基金 广东省大学生科技创新项目,编号:pdjhb0274
关键词 心脏病 积极心理学 心理干预 META分析 应用效果 消极事件 焦虑 heart disease positive psychology psychology intervention meta-analysis application effects negative effect anxiety
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