摘要
目的评价心理干预对青少年特发性脊柱侧凸(AIS)矫形患者术后结果的影响。方法计算机检索自建库至2021年7月25日PubMed、Embase、Cochrane Library、Web of Science、CINAHL、MEDLINE、PsycINFO、PQDT、中国知网、万方数据库、维普中文期刊数据库、中国生物医学文献数据库及controlled-trials、chictr临床对照试验数据库中有关心理干预对青少年AIS矫形患者应用效果的随机对照试验,采用RevMan 5.3统计软件进行Meta分析。结果最终纳入10篇文献,共621例患者。Meta分析结果显示心理干预可减轻患者术后疼痛(SMD=-0.62,95%CI:-1.15~-0.08,P=0.02)并降低患者术后焦虑水平(SMD=-0.54,95%CI:-1.03~-0.06,P=0.03),描述性分析显示认知行为疗法可提高患者术后生活质量及活动能力。结论心理干预可减轻脊柱侧凸矫形患者术后疼痛并降低焦虑水平,改善术后生活质量,提高活动能力。但由于研究数量较少且结果异质性较高,还需更高质量、大样本的研究以进一步验证其干预效果并为临床提供指导。
Objective To evaluate the effect of psychological intervention on postoperative outcomes of adolescent idiopathic scoliosis(AIS)patients undergoing correction.Methods A computer-based online search of PubMed,Embase,Cochrane Library,Web of Science,CINAHL,MEDLINE,PsycINFO,PQDT,China National Knowledge Infrastructure(CNKI),Wanfang Database,VIP Chinese Journal Database,China Biology Medicine disc,controlled-trials and chictr clinical controlled trial databases from establishment to July 25,2021 was performed for randomized controlled trials(RCTs)on the effect of psychological intervention on adolescent AIS patients undergoing correction surgery.RevMan 5.3 statistical software was used for meta-analysis.Results Finally,10 articles were included,with a total of 621 patients.Meta-analysis showed that psychological intervention could reduce postoperative pain(SMD=-0.62,95%CI:-1.15--0.08,P=0.02)and reduce postoperative anxiety(SMD=-0.54,95%CI:-1.03--0.06,P=0.03),descriptive analysis showed that cognitive behavioral therapy could improve postoperative quality of life and mobility.Conclusions Psychological intervention can reduce the pain and anxiety level of patients with scoliosis after surgery,improve the quality of life after surgery and improve the activity ability.However,due to the small number of studies and high heterogeneity of results,higher quality and large sample studies are needed to further validate the intervention effect and provide guidance for clinical practice.
作者
陈雅琪
韩通
王英丽
王惠珍
Chen Yaqi;Han Tong;Wang Yingli;Wang Huizhen(Operating Room,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China)
出处
《中华现代护理杂志》
2022年第31期4317-4323,共7页
Chinese Journal of Modern Nursing
关键词
青少年
特发性脊柱侧凸
心理干预
焦虑
抑郁
术后疼痛
META分析
Adolescents
Idiopathic scoliosis
Psychological intervention
Anxiety
Depression
Postoperative pain
Meta-analysis
