家庭式非药物干预方案对学龄期患儿及其父母术前焦虑干预效果的Meta分析  

Meta-analysis of the effect of non-pharmaceutical intervention for family on preoperative anxiety of school-age children and their parents

作　　者：钟宇豪 蒙艺 王晓蕾 ZHONG Yuhao;MENG Yi;WANG Xiaolei(School of Law and Sociology,Chongqing Technology and Business University,Chongqing 400067,China;Department of Ophthalmology,the First Affiliated Hospital of Army Medical University,Chongqing 400038,China)

机构地区：[1]重庆工商大学法学与社会学学院,重庆400067 [2]陆军军医大学第一附属医院眼科,重庆400038

出　　处：《健康研究》2023年第6期647-654,共8页Health Research

基　　金：重庆市教委人文社会科学规划项目(20SKGH113);重庆工商大学研究生科研创新项目(yjscxx2023-211-104)。

摘　　要：目的 系统评价家庭式非药物干预方案(non-pharmaceutical intervention for family, NPIF)对学龄期患儿及其父母术前焦虑的干预效果,提供NPIF的循证依据,为后续学龄期患儿及其父母术前焦虑的干预和研究工作提供参考。方法 计算机检索PubMed、Science Direct、Embase、SAGE、Cochrane Library、中国知网(CNKI)、万方数据库(Wangfang Data)和维普数据库(VIP)中涉及NPIF对学龄期患儿及其父母术前焦虑干预效果的随机对照实验(RCT)研究,发表日期截止至2022年3月1日。按照纳入标准筛选文献并采用Cochrane偏倚风险工具进行文献质量评价。使用Rev Man 5.3软件对纳入文献进行Meta分析。结果 最终纳入16项RCT研究,合计1 305对学龄期患儿及父母。Meta分析结果表明,NPIF的实施不仅使实验组患儿比对照组患儿体验到更少的术前焦虑[SMD=-1.04,95%CI(-1.32,-0.75),Z=7.14,P<0.001],也使实验组患儿父母比对照组患儿父母有更轻的术前焦虑反应[SMD=-0.58,95%CI(-1.12,-0.04),Z=2.11,P=0.04]。结论 家庭式非药物干预方案(NPIF)能够有效地缓解学龄期患儿及其父母的术前焦虑情绪。Objective To conduct a systematic review of the impact of non-pharmaceutical interventions on preoperative anxiety in school-aged children and their parents.The aim of this study is to provide evidence-based findings on non-pharmaceutical interventions,and to serve as a reference for future research and interventions targeting preoperative anxiety in school-aged children and their parents.Methods Computer searches were conducted on databases such as PubMed,Science Direct,Embase,SAGE,Cochrane Library,Chinese National Knowledge Infrastructure(CNKI),Wanfang Data,and VIP database to identify randomized controlled trials(RCTs)that investigated the impact of NPIF on preoperative anxiety levels of school-age children and their parents until March 1,2022.The inclusion criteria were adhered to during the screening process,and the Cochrane risk of bias assessment tool was employed to evaluate the quality of the literature.Rev Man 5.3 software was used to perform the Meta-analysis.Results A total of 16 RCTs involving 1305 school-aged children and their parents were included.The Meta-analysis findings suggest that the application of NPIF reduced preoperative anxiety levels amongst children in the experimental group in comparison to the children in the control group.Additionally,the implementation of NPIF resulted in a lower anxiety reaction amongst parents in the experimental group compared to the parents in the control group.Conclusions NPIF can effectively relieve preoperative anxiety of school-age children and their parents.

关 键 词：家庭式非药物干预方案 术前焦虑 META分析 

分 类 号：R473.72[医药卫生—护理学]