Menghan Zhang , Yanyan Xue , Mengwei Shao , Yi Yang , Lulu Yu , Bin Ma , Dunhui Li , Huiyue Zhou , Kun Wang , Changying Chen , Mengzhuo Cheng , Tao Wang
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引用次数: 0
摘要
目的：探讨心理教育干预对调节结直肠癌患者照护者身心状态的影响。方法：检索Medline、Web of Science、Embase、Cochrane Library、CINAHL Complete、CNKI、万方数据库、VIP数据库、CBM等9个电子数据库，筛选2000年1月至2023年7月的随机对照试验。从1498篇文献中筛选出9篇符合纳入标准的文献进行系统分析。采用固定效应模型和随机效应模型对效应大小和调节变量进行检验。结果：我们的研究结果清楚地表明，虽然心理教育干预可以改善CRC患者照顾者各方面的身体健康，从而改善生活质量，减轻照顾者负担，增强照顾者能力，但仅部分影响照顾者的心理状况。例如，虽然它改善了积极应对，减轻了消极应对，减少了照顾计划的中断，但心理状态的许多关键方面没有表现出反应，包括对家庭支持的感知，经济负担，自尊和痛苦。结论：心理教育干预能显著改善结直肠癌照护者的生理和心理状况，鼓励积极的生活方式。然而，在照顾者的心理方面仍有突出的问题需要解决，如如何提高他们的社会支持，如何缓解他们的经济压力。尽管如此，我们坚信，制定标准化的心理教育干预模式对于提高CRC患者照护者的整体幸福感具有重要意义。系统评价注册：PROSPERO (http://www.crd.york.ac.uk/PROSPERO)，编号CRD42023484775。
The effects of a psychoeducational intervention on caregivers of colorectal cancer patients: A meta-analysis of randomized controlled trials
Purpose
To investigate the impacts of psychoeducational interventions in adjusting the physical and psychological statuses of caregivers of CRC patients.
Methods
Nine electronic databases, including Medline, Web of Science, Embase, Cochrane Library, CINAHL Complete, CNKI, Wan Fang Database, VIP Database, and CBM, were searched to identify eligible randomized controlled trials from January 2000 to July 2023. From 1498 articles, 9 articles that met the inclusion criteria were identified and systematically analyzed. Effect sizes and moderator variables were tested using both fixed-effect models and random-effect models.
Results
Our results clearly showed that although psychoeducational interventions could improve all aspects of the physical health of caregivers of CRC patients, resulting in improved quality of life, reduced caregiver burden, and enhanced caregiver ability, they only partly affect the psychological conditions of caregivers. For example, while it led to improved positive coping, alleviated negative coping, and decreased disruption in the caring schedule, there were quite a few key aspects of the psychological status that did not show responses, including perception of family support, financial burden, self-esteem, and distress.
Conclusion
Psychoeducational interventions can significantly improve the status of caregivers of CRC both physically and psychologically and encourage active lifestyles. However, there are still outstanding problems to be solved in the psychological aspects of caregivers, such as how to improve their social support, and how to relieve their financial pressure. Even so, we firmly believe developing a standardized psychoeducational intervention mode is of great significance in improving the general well-being of caregivers of CRC patients.
Systematic review registration
PROSPERO (http://www.crd.york.ac.uk/PROSPERO), number CRD42023484775.
期刊介绍：
The European Journal of Oncology Nursing is an international journal which publishes research of direct relevance to patient care, nurse education, management and policy development. EJON is proud to be the official journal of the European Oncology Nursing Society.
The journal publishes the following types of papers:
• Original research articles
• Review articles
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