摘要
目的通过Meta分析探讨多学科协作护理模式对乳腺癌患者生命质量、负性情绪、自我护理能力的作用效果。方法计算机检索PubMed、Medline、Cochrane Library、Web of Science、EMbase、中国期刊全文数据库、中国生物医学文献数据库、维普数据库和万方数据库, 全面收集有关多学科协作护理模式在乳腺癌患者中应用的随机对照试验。依据Cochrane系统评价的方法, 对纳入的研究进行质量评价与资料提取, 采用RevMan5.3软件进行Meta分析。结果本研究共纳入14篇文献, 共1 828例乳腺癌患者。Meta分析显示, 多学科协作护理模式可以有效提高乳腺癌患者生命质量(SMD=1.11, 95%CI 0.55 ~ 1.67, Z=3.89, P<0.05), 缓解乳腺癌患者焦虑情绪(WMD= -1.36, 95%CI -2.68 ~ -0.03, Z=2.01, P<0.05)、抑郁情绪(WMD= -1.23, 95%CI -2.16 ~ -0.29, Z=2.56, P<0.05), 提升乳腺癌患者自我护理能力, 自我护理能力测定量表4个维度的Meta亚组分析显示, 各组间合并效应量有统计学意义(P<0.05)。结论多学科协作护理模式可以有效缓解乳腺癌患者焦虑、抑郁等负性情绪, 提升患者自我护理能力, 对改善乳腺癌患者生命质量具有重要意义。
Objective To evaluate the effect of multidisciplinary collaborative nursing mode on quality of life,negative emotions and self-care ability of breast cancer patients by Meta-analysis.Methods PubMed,Medline,Cochrane Library,Web of Science,EMbase,China National Knowledge Infrastructure,Chinese Biomedical Database,VIP and Wanfang Data were searched by computer.Randomized controlled trials on the application of multidisciplinary collaborative nursing model in breast cancer patients were collected.According to the Cochrane system evaluation method,the quality evaluation and data extraction of the included studies were conducted,and the Meta-analysis was conducted by RevMan 5.3 software.Results A total of 14 randomized controlled trials involving 1828 patients with breast cancer were included.Meta-analysis showed that multidisciplinary collaborative nursing mode could effectively improve the quality of life of breast cancer patients,and the combined effect was statistically significant(SMD=1.11,95%CI 0.55-1.67,Z=3.89,P<0.05),relieving anxiety of breast cancer patients(WMD=-1.36,95%CI-2.68--0.03,Z=2.01,P<0.05),and depression(WMD=-1.23,95%CI-2.16--0.29,Z=2.56,P<0.05),improve the self-care ability of patients,the Meta subgroup analysis results of 4 dimensions of Exercise of Self-care Agency Scale showed P<0.05,the combined effect was statistically significant.Conclusions Multidisciplinary collaborative nursing model can effectively alleviate the negative emotions of breast cancer patients,such as anxiety and depression,and improve the self-care ability of patients,which is of great significance to improve the quality of life of breast cancer patients.
作者
木巴拉克·依克拉木
古丽苏木汗·阿布来提
张翠萍
Mubarak Ekram;Gulsumay Ablat;Zhang Cuiping(College of Nursing,Xinjiang Medical University,Urumqi 830000,China;Department of Nursing,Tumor Hospital Affiliated to Xinjiang Medical University,Urumqi 830000,China)
出处
《中国实用护理杂志》
2022年第2期147-154,共8页
Chinese Journal of Practical Nursing
