新型冠状病毒肺炎疫情初期心理干预措施定量研究的系统综述  

The quantitative study of psychological intervention measures during the initial stage of COVID-19:a systematic review

作　　者：严永富 杨宇祥 林炳亮 王春平[3] 董文兰[4] 刘世炜[1] YAN Yong-fu;YANG Yu-xiang;LIN Bing-liang;WANG Chun-ping;DONG Wen-lan;LIU Shi-wei(Tobacco Control Office,Chinese Central for Disease Control and Prevention,Beijing 100050,China;不详)

机构地区：[1]中国疾病预防控制中心控烟办公室,北京100050 [2]中国疾病预防控制中心营养与健康所 [3]潍坊医学院公共卫生院“健康山东”重大社会风险预测与治理协同创新中心 [4]中国疾病预防控制中心慢性非传染性疾病预防控制中心

出　　处：《中国预防医学杂志》2022年第10期727-736,共10页Chinese Preventive Medicine

基　　金：国家重点研发计划(2017YFC1310902);国家社科基金应急管理体系建设研究(20VYJ056);健全完善公共卫生突发事件医疗救治体系研究(2020YJXM06)。

摘　　要：目的通过系统综述对新型冠状病毒肺炎(corona virus disease 2019,COVID-19)疫情初期心理干预措施进行分析。方法检索Embase、Cochrane、PubMed、中国知网、万方、维普数据库2019年12月29日—2020年12月23日发表的COVID-19心理干预相关的定量研究,使用随机对照试验偏倚风险评估工具(Risk of bias in randomised trials,RoB 2.0)、非随机对照研究偏倚风险评估工具(risk of bias in non-randomised studies of interventions,ROBINS-I)分别对纳入的随机对照干预试验(randomized controlled trial,RCT)和非随机对照研究(non-randomised studies of the effects of interventions,NRSI)进行质量评价,对最终纳入研究的心理干预措施按人群分类比较。结果最终纳入32项研究(17项RCT和15项NRSI),分别在11个国家开展;13项在中国开展;干预对象以COVID-19患者(10项)、普通人群(8项)和医护人员(7项)为主;干预途径中线上线下研究分别16项和14项,另有2项为线上线下结合;共24种干预措施应用于不同人群。纳入研究多缺乏有效的偏倚控制措施,偏倚风险较高。结论疫情初期多种心理干预措施有效的改善心理健康,但可能对女性、老人、儿童等脆弱人群的关注较少,未来还需要探索更多的干预途径和方式,同时要提高研究证据强度。Objective To systematically review the psychological intervention measures during the initial worldwide stage of coronavirus disease 2019(COVID-19).Methods Global literatures about psychological intervention quantitative studies during the initial stage of COVID-19 pandemic published from December 29,2019 to December 13,2020 were searched through Embase,Cochrane,PubMed,CNKI,Wanfang and CQVIP databases.We used Cochrane risk of bias tools RoB 2.0 and ROBINS-I to assess the quality of randomized controlled trials(RCT)and non-randomized studies of interventions(NRSI).The psychological intervention measures included in the studies were compared based on study population.Results A total of 32 related studies were obtained and analyzed,including 17 RCT and 15 NRSI from 11 countries,of which 13 were from China.Intervention subjects were mainly COVID-19 patients(10 studies),general population(8 studies),and healthcare workers(7 studies).The intervention pathways included online(16 studies),offline(14 studies),and both(2 studies).There were total 24 different intervention measures included.Most studies had higher risk of bias due to lack of effective bias control measures.Conclusions During the initial stage of COVID-19,multiple psychological intervention measures could effectively improve mental health,however,less attention was focused on vulnerable populations such as women,the elderly and children.Further study should explore more intervention pathways and improve the strength of evidence.

关 键 词：新型冠状病毒肺炎 心理干预 系统综述 

分 类 号：R1[医药卫生—公共卫生与预防医学]