电话干预对癌症患者支持性需求和心理健康影响的系统评价  

Influence of Telephone Intervention on the Supportive Care Needs and Psychological Health of Cancer Patients: A Systematic Review

作　　者：宋永霞[1] 洪静芳[1] 刘晶晶[1] 黄丹[1] 章新琼[1] 王维利[1,2] 

机构地区：[1]安徽医科大学护理学院,安徽省合肥市230032 [2]安徽省护理学国际联合研究中心

出　　处：《中国全科医学》2016年第14期1689-1695,共7页Chinese General Practice

基　　金：国家自然科学基金资助项目(81101750);安徽高校自然科学研究项目(KJ2012Z195)

摘　　要：目的系统评价电话干预对癌症患者支持性需求和心理健康的效果。方法计算机检索中国生物医学文献数据库、中国知网、万方数据库、维普网、Pub Med、Springer Link、Elsevier以及Wiley Online Library获取相关文献,时间限定为建库至2015-01-01。由2名研究者按照纳入与排除标准独立筛选文献并交叉核对提取的资料,整个筛选过程采用盲法。提取的内容包括第一作者、发表时间、样本量、结局指标、干预措施、测量工具、结局指标评定时间、主要结果、干预人员及患者肿瘤类型。由2名研究者独立根据Cochrane工作手册质量评价标准的偏倚风险评估工具进行文献质量评价。根据文献异质性进行描述性分析或Meta分析。结果共纳入12篇文献,干预组干预的次数为3-6次,干预措施的持续时间为6-12个月。有关电话干预对癌症患者支持性需求影响的文献异质性较大,放弃Meta分析进行描述性分析。基线或0.05）。≥6个月时,干预组心理健康状况优于对照组,差异有统计学意义〔SMD=-2.64,95%CI（-3.11,-2.18）,P〈0.05〕。结论电话干预对癌症患者支持性需求短、长期效应尚无定论;对心理健康短期效应不明显,而对心理健康长期效应明显。Objective To evaluate the effect of telephone intervention on the support care needs and psychological health of cancer patients. Methods We retrieved relevant literature from Chinese biological and medical database, CNKI,Wanfang,VIP,Pub Med,Springer Link, Elsevier and Wiley Online Library from establishment to January 1st,2015. Two researchers independently conducted literature screening and crosschecked the extracted data. Blind method was used in the whole screening process. The extracted content included first author, published time, sample size, endpoint indicators, intervention measures, measuring tools, time of endpoint indicator evaluation, outcome, intervention staff and tumor types. The two researchers independently undertook literature quality evaluation using the risk of bias assessment tool according to Cochrane quality evaluation criteria. According to the heterogeneity of literature, descriptive analysis and meta analysis were employed.Results We included 12 pieces of literature. Intervention was conducted on the intervention group for 3-6 times,and the duration of intervention was 6-12 months. The literature about the influence of relevant telephone intervention on the support care needs of cancer patients showed obvious difference,thus descriptive analysis was undertaken rather than meta analysis. The two groups was not significantly different in the psychological health improvement at baseline or in 3 months 〔SMD =- 1. 06,95% CI（- 3. 78,1. 67） 〕and in 3- 6 months 〔SMD =- 0. 09,95% CI（- 4. 21,4. 04） 〕. In ≥6 months,intervention group was significantly better than control group in psychological health status 〔SMD =- 2. 64,95% CI（- 3. 11,- 2. 18）,P〈0. 05〕. Conclusion The long- term and short- term effects of telephone intervention on the support care needs of cancer patients are not clear. The short- term effect on psychological is unremarkable,while the long- term effect is obvious.

关 键 词：肿瘤 支持性需求 电话干预 系统评价 

分 类 号：R739[医药卫生—肿瘤]