心理护理对急性有机磷农药中毒患者心理状态影响的Meta分析  

Meta-analysis of the influence of psychological nursing on the psychological status of patients with acute organophosphorus pesticide poisoning

作　　者：邓凤连 范玉梅[1] 罗静娣[1] DENG Fenglian;FAN Yumei;LUO Jingdi(Emergency Department of Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528400,China)

机构地区：[1]中山市中医院急诊科,广东中山528400

出　　处：《心理月刊》2022年第4期4-7,共4页

摘　　要：目的采用Meta分析方法评价心理护理对急性有机磷农药中毒患者心理状态的影响。方法计算机检索PubMed、The Cochrane Library、CBM、CNKI、WanFang Data和VIP数据库,检索心理护理对急性有机磷农药中毒患者心理状态影响的随机对照研究文献,时间为建库至2021年2月,应用RevMan 5.3软件进行Meta分析。结果最终纳入文献10篇,合计患者766例,Meta分析结果显示,与常规护理比较,加入心理护理更有助于改善患者焦虑、抑郁状态,Meta分析结果显示,干预后观察组汉密尔顿焦虑量表(HAMA)和焦虑自评量表(SAS)得分均低于对照组,患者的焦虑状态有所改善[HAMA:SMD=-1.17,95%CI(-2.08,-0.27),P<0.05;SAS:SMD=-2.27,95%CI(-3.29,-1.25),P<0.05];干预后汉密尔顿抑郁量表(HAMD)和抑郁自评量表(SDS)分析结果显示,观察组患者抑郁状态有所改善,与对照组相比[HAMD:SMD=-1.74,95%CI(-2.47,-1.01),P<0.05;SDS:SMD=-1.98,95%CI(-3,-0.97),P<0.05]。结论常规护理基础上加强心理护理有利于改善急性有机磷农药中毒患者的焦虑、抑郁状态。Objective To evaluate the influence of psychological nursing on the psychological state of patients with acute organophosphorus pesticide poisoning by Meta-analysis.Methods Relevant studies on literature of randomized controlled studies on the impact of psychological care on the psychological status of patients with acute organophosphorus pesticide poisoning from the establishment of the database were searched for literatures published to February 2021 through PubMed,The Cochrane Library,CBM,CNKI,WanFang Data and VIP databases,RevMan 5.3 software was applied to perform Meta-analysis.Results 10 eligible studies with a total of 766 subjects were included in the Meta-analysis.To compared with conventional nursing,psychological care can help improve patients’anxiety and depression.The Meta-analysis results show that the scores of Hamilton anxiety scale(HAMA)and self-rating anxiety scale(SAS)in the observation group after psychological care are low.In the control group,the patient’s anxiety state improved[HAMA:SMD=-1.17,95%CI(-2.08,-0.27),P<0.05;SAS:SMD=-2.27,95%CI(-3.29,-1.25),P<0.05];Hamilton depression scale(HAMD)and self-rating depression scale(SDS)analysis results after intervention showed that the depression status of the observation group was significantly improved,compared with the control group[HAMD:SMD=-1.74,95%CI(-2.47,-1.01),P<0.05;SDS:SMD=-1.98,95%CI(-3,-0.97),P<0.05].Conclusion The Psychological care is helpful to improve the anxiety and depression of patients with acute phosphorus pesticide poisoning.

关 键 词：心理护理 有机磷农药中毒 META分析 

分 类 号：R473.5[医药卫生—护理学]