于建娇,袁弯,张玉莲,鱼星锋,朱火兰,张慧瑛,来锦.叙事护理对乳腺癌术后患者负性情绪及病耻感干预效果的Meta分析[J].上海护理,2023,23(2):
叙事护理对乳腺癌术后患者负性情绪及病耻感干预效果的Meta分析
Intervention Effect of Narrative Nursing on Negative Emotion and Stigma in Postoperative Breast Cancer Patients: a Meta-analysis
DOI:
中文关键词:  乳腺癌  焦虑  抑郁  病耻感  叙事护理  Meta分析
英文关键词:Breast cancer  Anxiety  Depression  Stigma  Narrative nursing  Meta-analysis
基金项目:陕西省2020年重点研发计划项目(2020ZDLSF01-08)
作者单位E-mail
于建娇 西安交通大学 yt18740365315@163.com 
袁弯 延安大学  
张玉莲* 陕西省人民医院 zhangyulian03@163.com 
鱼星锋 陕西省人民医院  
朱火兰 陕西省人民医院  
张慧瑛 延安大学  
来锦 陕西中医药大学  
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中文摘要:
      摘要:目的 评价叙事护理对乳腺癌术后患者负性情绪及病耻感的干预效果。方法 系统检索PubMed、Cochrane Library、Embase、中国知网、中国生物医学文献数据库、万方数据库及维普中文科技期刊数据库从建库至2022年3月1日公开发表的关于叙事护理对乳腺癌术后患者负性情绪、病耻感影响的随机对照试验,RevMan5.4软件进行Meta分析。结果 最终纳入14篇文献。结果表明,叙事护理降低乳腺癌术后患者焦虑、抑郁情绪及病耻感总分的效果均优于对照组,且随着干预时间的延长,降低病耻感总分、社会隔离和内在羞耻感效果越好,差异有统计学意义,经济无保障只在干预>3个月时略优于对照组[MD=-0.17,95%CI(-0.31,-0.03),P=0.02],社会排斥在干预3个月[MD=-1.50,95%CI(-1.86,-1.14),P<0.01]及>3个月[MD=-2.36,95%CI(-2.70,-2.02),P<0.01]时优于对照组。结论 现有证据表明,叙事护理可在一定程度上改善乳腺癌术后患者的焦虑、抑郁情绪,降低病耻感水平,但还需要更多高质量研究佐证研究结果。
英文摘要:
      Abstract: Objective To evaluate the intervention effect of narrative nursing on negative emotion and stigma in postoperative breast cancer patients. Methods We conducted a systematic review and Meta-analysis of randomized controlled trial(RCT) published from inception to 1 March,2022 of the effect of narrative nursing on negative emotion and stigma in postoperative breast cancer patients in PubMed, Cochrane Library, Embase, CNKI, CBM, WanFang Data and VIP. RevMan5.4 software was used for Meta-analysis. Results A total of 14 articles were included. Meta-analysis showed that the effect of narrative nursing on reducing anxiety, depression and total stigma score of postoperative breast cancer patients was better than the control group, and with the extension of intervention time, the effect on reducing total stigma score, social isolation and intrinsic shame was better, the difference was statistically significant. Economic insecurity was slightly better than control group only at > 3 months of intervention [MD=-0.17, 95%CI(-0.31, -0.03), P=0.02], social exclusion at 3 months of intervention [MD=-1.50, 95%CI(-1.86, -1.14), P < 0.01] and > 3 months [MD=-2.36, 95%CI(-2.70, -2.02), P<0.01) was better than control group. Conclusion Existing evidence showed that to a certain extent narrative nursing can relieve the anxiety and depression, and reduce the level of stigma in postoperative breast cancer patients. But more high-quality studies are needed to verify conclusions of this study.
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