Peplau人际关系理论对癌症患者干预效果的Meta分析

Meta-analysis of the Intervention Effect on Peplau's Theory of Interpersonal Relationship for Cancer Patients

目的 探讨基于Peplau人际关系理论的护理干预方案在癌症患者中的应用效果。方法 计算机检索Cochrane Library、PubMed、Web of Science、EMbase、中国生物医学文献数据库、中国知网、万方数据库等数据库,查找基于Peplau人际关系理论的护理方案对癌症患者干预效果的随机对照试验相关文献,检索时限均为建库至2022年10月,使用Review Manager 5.4进行Meta分析。结果 共纳入10篇文献,涉及1040例癌症患者。Meta分析显示,试验组生活质量评分高于对照组,差异有统计学意义[MD=22.92,95%CI(20.29,25.56),Z=17.04,P<0.05];试验组焦虑评分低于对照组,差异有统计学意义[MD=-9.19,95%CI(-15.46,-2.93),Z=2.88,P<0.05];试验组抑郁评分低于对照组,差异有统计学意义[MD=-9.42,95%CI(-12.49,-6.35),Z=6.01,P<0.05];但肺癌患者试验组和对照组焦虑评分比较,差异无统计学意义[MD=-12.38,95%CI(-27.20,2.43),Z=1.64,P=0.10]。结论 基于Peplau人际关系理论护理方案可提高癌症患者总体生活质量,改善焦虑、抑郁负性情绪,但未能改善肺癌患者焦虑情绪。因此,还需进一步扩大样本量,开展基于Peplau人际关系理论护理干预对肺癌患者焦虑情绪影响的原始研究。此外,在实施治疗和护理干预时,应注重对患者的心理评估,提供针对性干预措施,进行心理疏导,降低负性情绪。

Objective To explore the application effect of nursing intervention program based on Peplau's theory of interpersonal relationship in cancer patients.Methods The Cochrane Library,PubMed,Web of Science,EMbase,Chinese Biomedical Literature Database,China National Knowledge Infrastructure,Wanfang Database and other databases were searched by computer to find the randomized controlled trials related to the intervention effect of nursing programs based on Peplau's theory of interpersonal relationship on cancer patients.The search time was from the establishment of the database to October 2022,and Meta analysis was performed using Review Manager 5.4.Results A total of 10 articles were included,involving 1040 cancer patients.Meta-analysis showed that the quality of life score of the experimental group was higher than that of the control group,and the difference was statistically significant[MD=22.92,95%CI(20.29,25.56),Z=17.04,P<0.05];the anxiety score of the experimental group was lower than that of the control group,and the difference was statistically significant[MD=-9.19,95%CI(-15.46,-2.93),Z=2.88,P<0.05];the depression score of the experimental group was lower than that of the control group,and the difference was statistically significant[MD=-9.42,95%CI(-12.49,-6.35),Z=6.01,P<0.05];however,there was no significant difference in anxiety score between the experimental group and the control group in lung cancer patients[MD=-12.38,95%CI(-27.20,2.43),Z=1.64,P=0.10].Conclusion The nursing program based on Peplau's theory of interpersonal relationship can improve the overall quality of life of cancer patients and improve the negative emotions of anxiety and depression,but it fails to improve the anxiety of lung cancer patients.Therefore,it is necessary to further expand the sample size and carry out the original research on the influence of nursing intervention based on Peplau's theory of interpersonal relationship on anxiety in patients with lung cancer.In addition,clinical medical staff should pay attention to the psychological assessment of patients,provide targeted interventions,carry out psychological counseling,and reduce negative emotions when implementing treatment and nursing interventions.