不同心理干预方法对恶性肿瘤患儿负性情绪干预效果的网状Meta分析  

Effect of different psychological interventions on negative emotion in children with malignant tumor:a net work Meta analysis

作　　者：张萍[1] 莫霖[2] 李霞[1] 王啟瑶 石林[1] 王紫娟[1] 

机构地区：[1]重庆医科大学儿科学院儿童发育疾病研究教育部重点实验室儿童发育重大疾病国家国际科技合作基地儿科学重庆市重点实验室,重庆400014 [2]重庆医科大学附属儿童医院特需门诊,重庆400014

出　　处：《重庆医科大学学报》2017年第9期1208-1213,共6页Journal of Chongqing Medical University

基　　金：重庆市科学技术委员会资助项目(编号:cstc2016shmszx0571);2013-2014年度国家临床护理重点专科建设资助项目(编号:国卫办医涵[2013]544号)

摘　　要：目的:通过比较不同心理干预方法在减轻恶性肿瘤患儿负性情绪方面的干预效果,明确其最优的心理干预方法。方法:采用计算机检索临床对照试验中心注册数据库(Cochrane Central of Registration Controlled Trials,CENTRAL)、荷兰医学文摘数据库(Excerpta Medical Datebase,EMBASE)、Pub Med、科学引文索引(Web of Science,WEB)、中国生物医学文献数据库(China Biomedical Literature Database,CBM)、中国知网(China National Knowledge Infrastructure,CNKI)、维普数据库(VIP Datebase,VIP)和万方数据库(Wan Fang Database,WF)中有关不同心理干预方法对恶性肿瘤患儿负性情绪干预效果的随机对照研究,检索时间均为建库至2017年2月。纳入比较不同心理干预方法对恶性肿瘤患儿负性情绪影响的随机对照试验,由2名评价人员按照标准独立筛选文献、提取资料、评价文献质量。用STATA 14.0软件进行网状Meta分析。结果:共纳入24篇文献。网状Meta分析结果显示,与普通心理干预疗法相比,音乐疗法(SMD=0.69,95%CI=0.17~1.21)、游戏疗法(SMD=0.74,95%CI=0.45~1.03)、认知行为疗法(SMD=4.32,95%CI=2.42~6.58)、心理健康教育疗法(SMD=0.63,95%CI=0.14~1.13)在减轻恶性肿瘤患儿负性情绪方面效果差异有统计学意义(均P<0.05);与其他6种心理干预方法相比,认知行为疗法在减轻恶性肿瘤患儿负性情绪方面的效果差异有统计学意义,其中与音乐疗法相比(SMD=-3.63,95%CI=-5.60^-1.66);与游戏疗法相比(SMD=-3.58,95%CI=-5.51^-1.66);与游戏结合音乐与阅读的混合型疗法(SMD=-4.00,95%CI=-5.95^-2.05);与心理健康教育疗法相比(SMD=-3.69,95%CI=-5.65^-1.73);与普通心理疗法相比(SMD=-4.32,95%CI=-6.22^-2.42);与图书阅读疗法相比(SMD=-4.60,95%CI=-6.58^-2.61)(均P<0.05)。结论:7种心理干预方法累积排序概率图下面积值从低到高的排序依次为:认知行为疗法、游戏疗法、音乐疗法、混合型疗法、心理健康教育疗法、普通心理干预�Objective：To confirm the best effective psychological intervention method by comparing the effect of different psychological intervention methods on negative emotion of pediatric oncology patients. Methods：A systematic search of the Cochrane Central of Registration Controlled computer Trials（CENTRAL）,EMBASE,Pub Med,Web of Science,China biomedical literature database（CBM）,China National Knowledge Infrastructure（CNKI）,VIP database（VIP）,Wan Fang Database（WF） was carried out. Randomized controlled trials（RCTs）examining the effect of different psychological intervention methods on negative emotion in pediatric oncology patients were included. The retrieval time was up to February 2017. Two reviewers independently screened the literature according to the criteria,extracted the data and evaluated the quality of the literature. STATA 14.0 software was used for a net work meta analysis. Results：A total of 24 articles were included. The net work meta analysis showed that compared with ordinary psychological intervention therapy,music therapy（SMD =0.69,95% CI =0.17 to 1.21）,play therapy（SMD =0.74,95% CI =0.45 to 1.03）,cognitive behavioral therapy（SMD=4.32,95% CI=2.42 to 6.58）and psychological health education therapy（SMD=0.63,95% CI=0.14 to 1.13）had significant differences in reducing negative emotion in pediatric oncology patients（all P〈0.05）. There were statistically significant difference in reducing negative emotion in pediatric oncology patients between cognitive behavior therapy and the other 6 methods of psychological intervention（all P〈0.05）：cognitive behavior therapy vs. music therapy,SMD=-3.63,95% CI=-5.60to-1.66;cognitive behavior therapy vs. game therapy,SMD=-3.58,95% CI=-5.51 to-1.66;cognitive behavior therapy vs. music and reading combined with games,SMD=-4.00,95% CI=-5.95 to-2.05;cognitive behavior therapy vs. mental health education therapy,SMD=-3.69,95% CI=-5.65 to-1.73;cognitive behavior therapy vs.common psychological therapy,SMD=-4.32,95% CI=-

关 键 词：恶性肿瘤 患儿 心理干预 负性情绪 网状Meta分析 

分 类 号：R73[医药卫生—肿瘤]