家庭赋权模式对癌症患者干预效果的Meta分析

Effects of family-centered empowerment model on cancer patients:a Meta-analysis

目的系统评价家庭赋权模式(Family-Centered Empowerment Model,FCEM)在癌症患者中的应用效果。方法计算机检索从建库至2023年11月15日在中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、Web of Science、Cochrane Library中收录的关于FCEM对癌症患者干预效果的随机对照试验。两位研究者独立进行文献筛选、资料提取和质量评价后,使用RevMan5.4软件进行Meta分析。结果共纳入10篇文献,974例癌症患者。Meta分析结果显示,FCEM可以改善癌症患者的生活质量[SMD=2.04,95%CI(1.22,2.87),P<0.00001]、增强心理韧性[SMD=2.77,95%CI(0.41,5.12),P=0.02]和患者出院准备度[MD=5.30,95%CI(2.61,7.99),P=0.0001],同时,有利于提高主要照顾者准备度[MD=5.30,95%CI(2.61,7.99),P=0.0001]及照顾能力[MD=-9.07,95%CI(-15.95,-2.19),P=0.01]。结论现有证据表明,与常规护理相比,FCEM对癌症患者的生活质量、心理韧性、出院准备度及主要照顾者准备度、照顾能力具有积极意义。

Objective To systematically evaluate the effect of Family-Centered Empowerment Model(FCEM)in cancer patients.Methods Randomized controlled trials on the efficacy of FCEM intervention in cancer patients were searched in CNKI,Wanfang data,VIP,CBM,PubMed,Web of Science and Cochrane Library.The retrieval time was from establishment of database to November 15,2023.Independent literature screening,data extraction and quality evaluation was handled by two investigators with RevMan5.4 software.Results 10 literatures were included,with a total of 974 cancer patients.Meta-analysis results showed that FCEM could improve the quality of life of cancer patients[SMD=2.04,95%CI(1.22,2.87),P<0.00001],improve mental toughness[SMD=2.77,95%CI(0.41,5.12),P=0.02]and discharge readiness[MD=5.30,95%CI(2.61,7.99),P=0.0001]at the same time,improve the main caregivers readiness[MD=5.30,95%CI(2.61,7.99),P=0.0001]and caregiving ability[MD=9.07,95%CI(15.95,2.19),P=0.01].Conclusion Available evidence suggests that FCEM has positive effects on quality of life,mental toughness,discharge readiness,primary caregiver readiness and caregiving ability of cancer patients compared to conventional care.