死亡教育在我国癌症患者中应用效果的系统评价

Application effect of death education in Chinese cancer patients:a systematic evaluation

目的 系统评价死亡教育在我国癌症患者中的应用效果。方法 在中国知网、中国生物医学文献服务系统、万方数据知识服务平台、维普中文期刊服务平台,以及PsycARTICLES、Embase、PubMed、Web of Science、Scopus、CINAHL、Medline、The Cochrane Library、PsycINFO数据库中检索死亡教育在癌症患者中应用效果的相关文献。对文献进行筛选、提取资料、质量评价后,采用RevMan 5.4软件进行Meta分析。结果 共纳入14篇文献。Meta分析结果显示,死亡教育能够改善癌症患者的生死观及价值观;干预措施为基于生命意义的死亡教育,干预形式为团体和个体干预相结合或团体干预的死亡教育,干预时间为单次的死亡教育对癌症患者生活质量的改善效果均优于常规护理(P<0.05),而持续干预2~4周的死亡教育对癌症患者生活质量的改善效果与常规护理差异无统计学意义(P>0.05)。结论 死亡教育能够有效地改善癌症患者的生死观及价值观,并提高患者的生活质量。

Objective To systematically evaluate the application effect of death education in Chinese cancer patients.Methods Literature related to application effect of death education in cancer patients were retrieved from China National Knowledge Infrastructure,China Biology Medicine disc,Wanfang Data Knowledge Service Platform,VIP,and databases of PsycARTICLES,Embase,PubMed,Web of Science,Scopus,CINAHL,Medline,The Cochrane Library,and PsycINFO.After literature screening,data extraction and quality evaluation,the RevMan 5.4 software was used for Meta-analysis.Results A total of 14 literature was enrolled.The results of Meta-analysis revealed that death education could ameliorate patients′view of life and death and sense of values.Compared with routine nursing,death education with intervention measures based on the meaning of life,with intervention forms of group intervention combined with individual intervention,or of group intervention,and with single intervention frequency,exhibited superior improvements for life quality in cancer patients(P<0.05),whereas no statistically significant difference in the improvement for life quality was found between cancer patients with death education in continuous intervention for 2 to 4 weeks and with routine nursing(P>0.05).Conclusion Death education can effectively ameliorate the view of life and death and sense of values in cancer patients,and improve patients′quality of life.