叙事护理对脑卒中患者负性情绪影响的Meta分析

Meta Analysis of the Impact of Narrative Nursing on Negative Emotions in Stroke Patients

目的系统评价叙事护理对脑卒中患者负性情绪的影响。方法检索以下数据库:PubMed、Web of Science、Embase、Cochrane Library、知网、万方、维普、中国生物医学文献数据库(CBM),检索时间为建库至2022年3月31日,检索叙事护理对脑卒中患者负性情绪影响的随机对照试验。两名研究人员各自检索文献、筛选文献、评价文献质量、提取数据后录入RevMan 5.4软件并进行Meta分析。结果共纳入9篇文献,研究质量为B级。试验组焦虑自评量表评分[MD=-6.48,95%CI(-7.38,-5.58),P<0.00001]与抑郁自评量表评分[SMD=-1.58,95%CI(-1.74,-1.41),P<0.00001]低于对照组,认知功能[SMD=1.17,95%CI(0.91,1.43),P<0.00001]与创伤后成长[MD=19.67,95%CI(12.88,26.46),P<0.00001]情况优于对照组。结论叙事护理可以改善脑卒中患者焦虑和抑郁等负性情绪,同时提高患者认知功能与创伤后成长水平。

Objective To systematically evaluate the impact of narrative nursing on negative emotions in stroke patients.Metho-ds The following databases were searched:PubMed,Web of science,Embase,Cochrane Library,CNKI,Wanfang,VIP,and China Biomedical Literature Database(CBM).The search was conducted until March 31,2022,and a randomized controlled trial was cond-ucted to investigate the negative emotional impact of narrative nursing on stroke patients.Two researchers searched for literature,screened literature,evaluated literature quality,extracted data,and entered them into Revman 5.4 software for Meta analysis.Results A total of 9 articles were included,and the research quality was at level B.The anxiety self rating scale score of the experimental group was[MD=-6.48,95%CI(-7.38,-5.58),P<0.00001],and the depression self rating scale score was[SMD=-1.58,95%CI(-1.74,-1.41),P<0.00001]which was lower than the control group.Cognitive function[SMD=1.17,95%CI(0.91,1.43),P<0.00001],and post-traumatic growth[MD=19.67,95%CI(12.88,26.46),P<0.00001]were better than the control group.Conclusi-on Narrative nursing can improve negative emotions such as anxiety and depression in stroke patients,while also improving their cognitive function and post traumatic growth level.