摘要
目的 研究健康教育干预对卵巢癌患者生活质量及不良情绪的影响,以期为卵巢癌康复领域的护理实践提供循证依据。方法 使用检索词“Health education”、“Ovarian cancer”、“Ovarian neoplasms”、“Randomized controlled trial”、“健康教育”、“卵巢癌”和“卵巢肿瘤”等检索常用英文数据库(PubMed、Embase、Medline)和中文数据库(中国知网、万方、维普),并筛选以健康教育(包括引导式健康教育、路径式健康教育等不同模式)为主要干预手段进行卵巢癌患者治疗后干预的参考文献。Review Manager 5.3软件进行Meta分析,以u检验(Z test)来判断合并统计量间是否存在统计学意义,根据u值计算出P值,并以α=0.05作为检验水准。结果 共计纳入13项研究进行meta分析,共有6项研究分析了患者疾病相关知识认知评分,采用固定效应模型分析,结果显示,Z=15.36,P<0.001。共有6项研究结局指标包含了患者总体健康状况评分,采用固定效应模型分析,结果显示,Z=16.45,P<0.001,差异有统计学意义。患者焦虑状况评分合并后的SMD值为-0.85,95%置信区间为[-1.00~-0.71]。采用固定效应模型分析,结果 Z=11.58,P<0.001。患者抑郁状况评分合并后的SMD值为-0.81,95%置信区间为[-0.95~-0.66]。采用固定效应模型分析,结果显示,Z=10.99,P<0.001。结论 卵巢癌患者治疗后实施健康教育有助于提升患者生活质量,缓解焦虑抑郁等不良情绪,并可提高患者对疾病的认知,从而改善治疗依从性,值得进一步推广。
Objective To study the effects of health education intervention on quality of life and bad mood of ovarian cancer patients,and to provide evidence-based nursing practice in the field of ovarian cancer rehabilitation.Methods Common English databases(PubMed,Embase,Medline)and Chinese databases(CNKI,Wanfang,VIP)were searched by search terms included"health education","ovarian cancer","ovarian neoplasms","randomized controlled trial",etc.The references of post-treatment intervention of ovarian cancer patients with health education(including guided health education,pathway health education,etc.)as the main intervention means were screened.Review Manager 5.3 software was used for meta-analysis,and u test(Z test)was used to judge whether there was statistical significance between the combined statistics.P value was calculated according to the u value,andα=0.05 was used as the test level.Results A total of 13 studies were included for meta-analysis,and 6 studies analyzed the cognitive scores of patients'disease-related knowledge.The results of fixed effect model analysis showed that Z=15.36,P<0.001.A total of 6 study outcome indicators included the overall health status score of patients,and the fixed effect model analysis showed that Z=16.45,P<0.001,and the difference was statistically significant.The SMD(standardized mean difference)value of the patients'anxiety score after combination was-0.85,and the 95%confidence interval was[-1.00 to-0.71].The fixed effect model was adopted,and the result was Z=11.58,P<0.001.The SMD value of the patients'depression score after combination was-0.81,and the 95%confidence interval was[-0.95 to-0.66].The fixed effect model was used,and the result showed that Z=10.99,P<0.001.Conclusions The implementation of health education after treatment for ovarian cancer patients can help to improve the quality of life of patients,relieve anxiety and depression and other adverse emotions,and improve patients'cognition of the disease,thus improving treatment compliance,which is worthy of further promotion.
作者
张忻然
李明燕
刘馨
ZHANG Xinran;LI Mingyan;LIU Xin(Department of Gynaecology,Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 100050,China;Operating Room,Beijing Chaoyang Hospital,Beijing 100020,China)
出处
《预防医学情报杂志》
CAS
2024年第6期746-754,共9页
Journal of Preventive Medicine Information
关键词
卵巢癌
健康教育
生活质量
焦虑
ovarian cancer
health education
quality of life
anxiety
作者简介
张忻然(1996-),女,本科,护师,妇科护理,E-mail:18611352128@163.com。
