表达性书写对病人主要照顾者心理状况影响的系统评价  

A systematic evaluation on the influence of expressive writing on the psychological status of main caregivers

作　　者：王晓宇 苏延妮 杨健 王晓娟 WANG Xiaoyu;SU Yanni;YANG Jian;WANG Xiaojuan(Nursing College of Ningxia Medical University,Ningxia 750004 China)

机构地区：[1]宁夏医科大学护理学院,750004 [2]青岛市口腔医院,266001

出　　处：《全科护理》2023年第19期2609-2614,共6页Chinese General Practice Nursing

摘　　要：目的:系统评价表达性书写对病人主要照顾者心理状况影响的干预效果。方法:通过计算机检索PubMed、Embase、Cochrane Library、Web of Science、CINAHL、美国心理协会文摘索引数据库(PsychINFO)、中国知网(CNKI)、中国生物医学文献数据库(CBM)、维普数据库(VIP)和万方数据库,查找有关表达性书写对病人主要照顾者心理状况影响的随机对照试验,检索时限均从建库至2022年5月,使用RevMan 5.3软件进行数据合成分析。结果:共纳入10篇文献,涉及715名研究对象。Meta分析结果显示,表达性书写能明显改善病人主要照顾者的创伤性应激症状[SMD=-0.33,95%CI(-0.63,-0.03),P=0.03],减轻抑郁[SMD=-0.53,95%CI(-0.95,-0.12),P=0.01]和压力[SMD=-0.45,95%CI(-0.78,-0.12),P=0.007],但在减轻心理痛苦[SMD=-0.04,95%CI(-1.49,1.42),P=0.96]和焦虑[SMD=0.08,95%CI(-0.25,0.40),P=0.64]方面效果不明显。结论:目前证据表明表达性书写能够有效改善病人主要照顾者的创伤性应激症状,减轻抑郁及压力,但干预实施过程中的方法、频率仍需研究者注意。Objective:To systematically evaluate the intervention effect of expressive writing on the psychological status of patients′main caregivers.Methods:PubMed,Embase,Cochrane Library,Web of Science,CINAHL,PsychINFO,CNKI,China Biomedical Literature Database(CBM),VIP and Wanfang databases were searched by computer to find the randomized controlled trials related to the impact of expressive writing on the psychological status of the main caregivers of patients.The retrieval time limit was from the establishment of the database to May 2022.The data were synthesized and analyzed using RevMan 5.3.Results:A total of 10 papers were included,involving 715 subjects.Meta analysis results showed that compared with the control group,expressive writing had significant differences in the symptoms of traumatic stress disorder[SMD=-0.33,95%CI(-0.63,-0.03),P=0.03],depression[SMD=-0.53,95%CI(-0.95,-0.12),P=0.01]and stress[SMD=-0.45,95%CI(-0.78,-0.12),P=0.007]of the patient′s main caregivers.However,there was no significant difference in relieving psychological pain[SMD=-0.04,95%CI(-1.49,1.42),P=0.96]and anxiety[SMD=0.08,95%CI(-0.25,0.40),P=0.64].Conclusions:The current evidence shows that expressive writing can effectively improve the psychological status of patients′main caregivers in terms of traumatic stress disorder,depression and stress symptoms,but the methods and frequency of intervention still need researchers′attention.

关 键 词：表达性书写 病人主要照顾者 系统评价 

分 类 号：R473[医药卫生—护理学]