移情护理对心肌梗死患者焦虑、抑郁及希望水平影响的Meta分析

Influence of empathic nursing on anxiety,depression and hope level in patients with myocardial infarction:a meta-analysis

目的:系统评价移情护理对心肌梗死患者焦虑、抑郁及希望水平影响。方法:计算机检索中国知网(CNKI)、维普、万方、中国生物医学文献数据库(CBM)、Pub Med、Cochrane Lbrari y、EMbase数据库中涉及移情护理对心肌梗死患者焦虑、抑郁及希望水平影响的随机对照试验。由2名有循证护理经验的研究人员对文献进行独立筛选、数据提取和质量评价后,采用Rev Man5.3软件进行Meta分析。结果:共纳入11篇随机对照试验。Meta分析结果显示:干预后移情护理组焦虑自评量表(WMD=-7.67,95%CI(-11.31,-4.02),P<0.001)、抑郁自评量表(WMD=-9.31,95%CI(-11.09,-7.53),P<0.001)评分均显著低于对照组,患者Herth希望量表评分(WMD=6.66,95%CI(4.83,8.50),P<0.001)均显著高于对照组。结论:现有证据表明,移情护理可降低心肌梗死患者焦虑抑郁状态,提高患者希望水平,但仍需更多高质量研究加以验证结果。

Objective:To systematically evaluate the influence of empathic nursing on anxiety,depression and hope level in patients with myocardial infarction.Methods:Randomized controlled trials involving the influence of empathic nursing on anxiety,depression and hope level in patients with myocardial infarction were searched in CNKI,VIP,Wanfang,CBM,PubMed,Cochrane Library and EMbase databases.After independent screening,data extraction and quality evaluation of the literatures by two researchers with evidence-based nursing experience,RevMan 5.3 software was used for meta-analysis.Results:A total of 11 randomized controlled trials were enrolled.Meta analysis indicated that after intervention,scores of self-rating anxiety scale(WMD=-7.67,95%CI(-11.31,-4.02),P<0.001)and self-rating depression scale(WMD=-9.31,95%CI(-11.09,-7.53),P<0.001)in empathic nursing group were significantly lower than those of control group,while Herth hope scale score(WMD=6.66,95%CI(4.83,8.50),P<0.001)was significantly higher than that of control group.Conclusion:Current evidence indicate that empathic nursing can reduce anxiety and depression state,and improve the hope level in patients with myocardial infarction,but more high-quality studies are still needed to verify the results.