中国住院癌症患者自杀意念发生率Meta分析  

Prevalence of suicide ideation among Chinese hospitalized cancer patients:a meta-analysis

作　　者：吴明娥 胡德英 丁小萍 喻婷 滕芬 Wu Ming′e;Hu Deying;Ding Xiaoping;Yu Ting;Teng Fen(School of Nursing,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院护理学院,湖北武汉430030 [2]华中科技大学同济医学院附属协和医院护理部

出　　处：《护理学杂志》2021年第12期94-97,共4页Journal of Nursing Science

基　　金：国家自然科学基金面上项目(71673100)。

摘　　要：目的了解中国住院癌症患者自杀意念发生率的总体情况,为住院癌症患者自杀行为预防及干预提供参考。方法系统检索Web of Science、Cochrane Library、PubMed、EMbase、中国知网、中国生物医学文献服务系统、万方数据库、维普数据库自建库至2020年10月的相关文献,采用R4.0.2软件对数据进行Meta分析。结果共纳入文献15篇,总样本量6328例。文献分析结果显示,我国住院癌症患者自杀意念发生率为21.6%[95%CI(15.9%,27.3%)]。亚组分析结果显示,女性、使用多条目自杀测评工具、南方地区癌症患者自杀意念发生率较高。结论我国住院癌症患者自杀意念发生率较高,综合医院应早期识别住院癌症患者的自杀意念,并及时对自杀意念及自杀行为采取预防及干预措施。Objective To explore the overall incidence of suicidal ideation among hospitalized cancer patients in China,and to provide reference for prevention and intervention.Methods We searched these electronic databases as Web of Science,Cochrane Library,PubMed,Embase,CNKI,SinoMed,WanFang Data and CQ VIP from inception to October 2020,to retrieve all available literature.Meta-analysis was performed by using R4.0.2 software.Results Fifteen studies involving 6328 patients were included.The results of meta-analysis showed that the prevalence of suicidal ideation of hospitalized cancer patients in China was 21.6%(95%CI 15.9%-27.3%).Subgroup analysis showed that the prevalence of suicidal ideation was higher in females,studies using multi-item suicide risk assessment tools,and studies in southern China.Conclusion Current evidence shows that the prevalence of suicidal ideation among hospitalized cancer patients is relatively high in China.General hospitals should identify suicidal ideation of hospitalized cancer patients as early as possible,and take timely prevention and intervention measures.

关 键 词：中国 癌症患者 住院 自杀意念 自杀企图 META分析 

分 类 号：R473.73[医药卫生—护理学] R73-31[医药卫生—临床医学]