心理干预对门诊性病患者影响的荟萃分析  

A Meta-analysis of the Effects of Psychological Intervention on STD Outpatients

作　　者：包东平 刘璐[2] 杨双宇 BAO Dong-ping;LIU Lu;YANG Shuang-yu(The University of Sheffield,Sheffield S102TN,England;Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]谢菲尔德大学,英国谢菲尔德S102TN [2]北京中医药大学,北京100029

出　　处：《内蒙古民族大学学报（自然科学版）》2020年第5期424-432,共9页Journal of Inner Mongolia Minzu University：Natural Sciences

摘　　要：目的:探索心理干预对于降低性病门诊患者精神健康风险的有效性.方法:使用中文数据库(CNKI、万方)对2000年1月-2020年7月发表的探究心理干预对门诊性病患者影响的随机对照试验进行了系统综述,并使用Review Manager 5.3对结果进行meta分析.结果:纳入9篇文献,共936例患者.Meta分析结果显示,心理干预后试验组SAS和HAMA得分低于对照组,患者的焦虑状态有明显改善,差异有统计学意义[SAS:MD=-2.19,95%CI(-3.34,-1.05),P<0.05;HAMA:MD=-3.43,95%CI(-4.47,-2.39),P<0.05].干预后SAD和HAMD分析结果显示与对照组相比,试验组患者的抑郁状态有明显改善,差异有统计学意义[SAD:MD=-3.17,95%CI(-4.18,-2.15),P<0.05;HAMD:MD=-3.44,95%CI(-4.41,-2.48),P<0.05].结论:心理干预能有效改善门诊性病患者的焦虑和抑郁状态.Objective:To explore the effectiveness of psychological intervention in reducing mental health risks in sexually transmitted diseases(STD)outpatients.Methods:Two Chinese databases(CNKI and Wanfang)were used to systematically review the randomized controlled trials published from January 2000 to July 2020 to explore the impact of psychological intervention on STD outpatient,and Review Manager 5.3 was used for Metaanalysis of the results.Results:Nine articles were included,with a total of 936 patients.The meta-analysis re⁃sults showed that SAS and HAMA scores in the experimental group were lower than those in the control group af⁃ter psychological intervention,the patients’anxiety state was significantly improved,and the difference was sta⁃tistically significant[SAS:MD=-2.19,95%CI(-3.34,-1.05),P<0.05;HAMA:MD=-3.43,95%CI(-4.47,-2.39),P<0.05].The analysis results of SAD and HAMD after intervention showed that compared with the con⁃trol group,the depression status of the experimental group was significantly ameliorated,and the difference was statistically significant.[SAD:MD=-3.17,95%CI(-4.18,-2.15),P<0.05;HAMD:MD=-3.44,95%CI(-4.41,-2.48),P<0.05].Conclusion:Psychological intervention can effectively improve the anxiety and depres⁃sion of STD outpatients.

关 键 词：心理干预 性传播疾病 精神健康 

分 类 号：R759[医药卫生—皮肤病学与性病学]