认知行为疗法对癌症患者非正式照顾者生活质量及抑郁情绪的影响的系统评价  

Systematic review of the effects of cognitive behavioral therapy on quality of life and depression of informal caregivers of patients with cancer

作　　者：张苹 张小满[1] 陈莉军[1] 尹永田[1] 吴琼 王博[1] ZHANG Ping;ZHANG Xiaoman;CHEN Lijun;YIN Yongtian;WU Qiong;WANG Bo(School of Nursing, Shandong University of Traditional Chinese Medicine, Shandong Province, Ji′nan 250355)

机构地区：[1]山东中医药大学护理学院,山东济南250355

出　　处：《中国医药导报》2019年第7期161-165,F0003,共6页China Medical Herald

基　　金：山东省研究生导师指导能力提升项目(SDYY17114);山东省青少年教育科学规划课题(18BSH304)

摘　　要：目的系统评价认知行为疗法对癌症患者非正式照顾者生活质量及抑郁情绪的影响。方法计算机系统检索Pub Med、the Cochrane Library、CINAHL、EMBASE、CBM、CNKI、万方、维普等中英文数据库,收集关于认知行为疗法对癌症患者非正式照顾者生活质量及抑郁情绪的文献,检索时间为建库至2018年7月。2名研究员根据纳入与排除标准进行文献的筛选、资料提取以及质量评价;运用Review Manager 5.3对其进行Meta分析。结果共纳入8项随机对照试验,癌症患者非正式照顾者946例,中途及其他原因退出者共计44例,902例完成干预,其中干预组452例,对照组450例,干预组予以认知行为疗法干预。干预组与对照组的生活质量比较,差异有统计学意义[MD=20.15,95%CI:5.15～35.15,P=0.008];认知行为疗法能改善癌症患者非正式照顾者的抑郁情绪。结论认知行为疗法可以改善癌症患者非正式照顾者的抑郁情绪,提高其生活质量。Objective To systematically evaluate the effects of cognitive behavioral therapy on the quality of life and depression of informal caregivers of patients with cancer. Methods Computer was used to search the Chinese and English databases of Pub Med, the Cochrane Library, CINAHL, EMBASE, CBM, CNKI, Wanfang, VIP, etc. systematically,to collect literature on cognitive behavioral therapy for the quality of life and depression of informal caregivers of patients with cancer. The searching time was from the establishment of the database to July 2018. Two researchers conducted screening, data extraction, and quality evaluation based on inclusion and exclusion criteria, and used Review Manager 5.3 for meta-analysis. Results A total of 8 randomized controlled trials were included. There were 946 informal caregivers of patients with cancer, 44 patients quitted due to halfway or other reasons, and 902 patients completed interventions, including 452 patients in the intervention group and 450 patients in the control group. The intervention group received cognitive behavioral therapy intervention. There was significant difference in quality of life between intervention group and control group [MD = 20.15, 95%CI: 5.15-35.15, P = 0.008]. Cognitive behavioral therapy could improve depression of informal caregivers of patients with cancer. Conclusion Cognitive behavioral therapy can improve the depression and quality of life of informal caregivers of patients with cancer.

关 键 词：认知行为疗法 癌症 非正式照顾者 抑郁 生活质量 

分 类 号：R473[医药卫生—护理学]