摘要
目的评价认知行为疗法对慢性阻塞性肺疾病(COPD)患者的干预效果。方法计算机检索中英文数据库,收集认知行为疗法对COPD患者干预效果的随机对照试验,按纳入与排除标准进行文献筛选、资料提取和质量评价后,采用RevMan5.3软件进行Meta分析。结果共纳入11项研究,1 283例患者。Meta分析显示:认知行为疗法对改善患者抑郁和焦虑情绪、提高生活质量显著优于常规护理组(均P<0.01);2篇文献报道改善治疗依从性(P<0.05);但对患者自我效能的效果不明显(P>0.05)。结论认知行为疗法能缓解COPD患者抑郁、焦虑情绪、提高患者生活质量显著,但对治疗依从性及自我效能方面的证据尚不足,需高质量的研究进一步验证。
Objective To evaluate the effect of cognitive behavioral therapy（CBT）on patients with chronic obstructive pulmonary disease（COPD）.Methods Randomized controlled trials（RCTs）regarding the effects of CBT on COPD patients were retrieved in electronic databases.Studies met the inclusion criteria were selected and evaluated independently by two researchers,then data was analyzed by RevMan5.3.Results Eleven RCTs involving 1 283 patients were included.The results of meta-analysis showed that CBT could mitigate depression and anxiety of COPD patients,and improve their quality of life,compared with those receiving routine care（P〈0.01 for all）.Two studies reported CBT could improve patients’ therapeutic compliance（P〈0.05）.However,studies failed to support the effectiveness of CBT on improving self-efficacy of patient（P〉0.05）.Conclusion CBT can alleviate depression and anxiety of COPD patients and improve their quality of life,but there is still lack of evidence in improving therapeutic compliance and self-efficacy.High-quality studies are required to validate the effect of CBT.
作者
朱晓敏
罗健
李苗苗
谢霖
胡霞
Zhu Xiaomin;Luo Jian;Li Miaomiao;Xie Lin;Hu Xia(Medical Department of Yangtze University,Jingzhou 434023,China)
出处
《护理学杂志》
CSCD
北大核心
2018年第17期93-97,共5页
Journal of Nursing Science
关键词
慢性阻塞性肺疾病
认知行为疗法
焦虑
抑郁
生活质量
治疗依从性
自我效能
META分析
chronic obstructive pulmonary disease
cognitive behavioral therapy
anxiety
depression
quality of life
therapeutic compliance
self-efficacy
meta-analysis
