中华护理杂志 ›› 2023, Vol. 58 ›› Issue (22): 2792-2800.DOI: 10.3761/j.issn.0254-1769.2023.22.015
黄巧荣(), 杨连招(
), 陈玲, 龙秀红, 高慧, 陈玉崟, 罗理尹
收稿日期:
2023-05-08
出版日期:
2023-11-20
发布日期:
2023-11-17
通讯作者:
杨连招,E-mail:1403066844@qq.com作者简介:
黄巧荣:女,本科(硕士在读),护士,E-mail:1319536210@qq.com
基金资助:
HUANG Qiaorong(), YANG Lianzhao(
), CHEN Ling, LONG Xiuhong, GAO Hui, CHEN Yuyin, LUO Liyin
Received:
2023-05-08
Online:
2023-11-20
Published:
2023-11-17
摘要:
目的 采用Meta分析评价聚焦解决模式改善HIV感染者/AIDS患者焦虑、抑郁状态的效果。 方法 计算机检索PubMed、Embase、Web of Science、Cochrane Library、CINAHL、PsycINFO、中国生物医学文献数据库、中国知网、万方数据库及维普数据库,检索时限为建库至2023年4月9日。由2名研究者独立按照纳入与排除标准筛选文献,提取资料并进行质量评价,采用RevMan 5.4软件进行Meta分析。 结果 共纳入11篇文献,9篇随机对照试验、2篇类实验研究,共1 219例HIV感染者/AIDS患者。Meta分析结果显示,聚焦解决模式能降低HIV感染者/AIDS患者的焦虑得分(SMD=-1.89;95%CI为-2.79~-0.99,P<0.001)、抑郁得分(SMD=-2.45;95%CI为-3.51~-1.39,P<0.001)。亚组分析结果显示,与普通患者相比,合并妊娠的HIV感染者/AIDS患者的焦虑(SMD=-4.16;95%CI为-7.97~-0.35,P<0.001)、抑郁(SMD=-5.69;95%CI为-11.20~-0.19,P<0.001)改善效果更加明显。 结论 聚焦解决模式可以有效改善HIV感染者/AIDS患者焦虑、抑郁水平,在妊娠合并HIV感染者/AIDS患者中应用该模式改善效果更加显著,但未来仍需高质量、多中心、大样本的临床试验研究进一步证实。
黄巧荣, 杨连招, 陈玲, 龙秀红, 高慧, 陈玉崟, 罗理尹. 聚焦解决模式对HIV感染者/AIDS患者焦虑、抑郁影响的Meta分析[J]. 中华护理杂志, 2023, 58(22): 2792-2800.
HUANG Qiaorong, YANG Lianzhao, CHEN Ling, LONG Xiuhong, GAO Hui, CHEN Yuyin, LUO Liyin. Effect of solution-focused brief therapy on anxiety and depression in patients with HIV/AIDS:a meta-analysis[J]. Chinese Journal of Nursing, 2023, 58(22): 2792-2800.
图2 聚焦解决模式对HIV感染者/AIDS患者焦虑影响的森林图 注: SAS为焦虑自评量表; HAMA为汉密顿焦虑量表; STAI为状态-特质焦虑量表; HSCL-25为霍普金斯症状检查表。
Figure 2 Forest map focusing on the effect of solution-focused brief therapy on anxiety in HIV/AIDS patients
图3 聚焦解决模式对HIV感染者/AIDS患者抑郁影响的森林图 注: SDS为抑郁自评量表; HAMD为汉密顿抑郁量表; BDI为贝克抑郁量表; PHQ9为患者健康问卷。
Figure 3 Forest map focusing on the effect of solution-focused brief therapy on depression in HIV/AIDS patients
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