摘要
目的探讨表达性写作对乳腺癌患者创伤后应激反应的影响。方法计算机检索PubMed、Wiley、Cochrane图书馆、Science Direct、荷兰医学文摘数据库(the excerpta medica database,Embase)、中国生物医学数库(Chinese biomedical literature database,CBM)、中国期刊全文数据库(Chinese national knowledge infrastructure,CNKI)、万方数据库、维普期刊资源整合服务平台等数据库中关于表达性写作对改善乳腺癌患者创伤后应激症状(生理及心理应激反应)和生活质量的随机对照试验,并进行文献质量评价和资料分析。结果最终纳入14篇文献。Meta分析结果显示,表达性写作可以改善乳腺癌患者的焦虑症状[MD=-0.91,95%CI (-1.66,-0.15),P=0.02],降低抑郁水平[MD=-0.16,95%CI(-0.30,-0.01),P=0.03],缓解躯体症状[MD=-0.59,95%CI(-0.82,-0.35),P<0.01]。但表达性写作在改善乳腺癌患者睡眠质量、负性情绪及生活质量方面无统计学意义(P>0.05)。结论表达性写作能有效降低乳腺癌患者焦虑抑郁水平,改善躯体症状,对缓解创伤性应激障碍症状有一定的作用。
Objective To evaluate the effects of expressive writing on posttraumatic stress response in patients with breast cancer.Methods A computerized literature search was carried out in PubMed,Wiley,the Cochrane Library,Science Direct,the Excerpta Medica database(Embase),Chinese biomedical literature database(CBM),Chinese national knowledge infrastructure(CNKI),Wandang database and VIP to recruit qualified randomized controlled trials concerning the effects of expressive writing on posttraumatic stress response(physical and psychological stress response)and the quality of life in patients with breast cancer.The quality appraisal was conducted and data were analyzed.Results A total of 14 trials were included.The results of meta-analysis showed that expressive writing improved anxiety symptoms in breast cancer patients with MD=-0.91,95%CI(-1.66,-0.15),P=0.02;it decreased the level of depression with MD=-0.16,95%CI(-0.30,-0.01),P=0.03;and it relieved somatic symptoms with MD=-0.59,95%CI(-0.82,-0.35),P<0.01.However,there was no significant differences in the effectiveness of improving sleep quality,negative emotions and quality of life in patient with breast cancer(P>0.05).Conclusions Expressive writing is effective for reducing the level of anxiety and depression,improving somatic symptoms and relieving the symptoms of traumatic stress disorder in patients with breast cancer.
作者
吴琼
李玉丽
陈莉军
张苹
WU Qiong;LI Yuli;CHEN Lijun;ZHANG Ping(School of Nursing,Shandong University of Traditional Chinese Medicine,Jinan 250355,Shandong Province,China;School of Nursing,Shandong University,Jinan 250100,Shandong Province,China)
出处
《解放军护理杂志》
CSCD
北大核心
2018年第16期8-15,共8页
Nursing Journal of Chinese People's Liberation Army
基金
中国博士后科学基金第62批面上资助项目(2017M622213)
关键词
表达性写作
乳腺癌
创伤后应激反应
META分析
expressive writing
breast cancer
posttraumatic stress response
meta-analysis
