中国肠造口患者心理痛苦检出率的Meta分析  

A Meta-analysis of the detection rate of psychological distress in Chinese patients receiving enterostomy

作　　者：陈妍[1,2] 汤利萍 严志洁 孙先霖 黎露思 梁亿星 魏雪岩 曹英[1] CHEN Yan;TANG Li-ping;YAN Zhi-jie;SUN Xian-lin;LI Lu-si;LIANG Yi-xing;WEI Xue-yan;CAO Ying

机构地区：[1]南昌大学江西医学院第一附属医院护理部,江西南昌330006 [2]南昌大学江西医学院护理学院,江西南昌330006

出　　处：《中国疗养医学》2024年第6期54-58,共5页Chinese Journal of Convalescent Medicine

基　　金：江西省卫健委科技计划项目(202310336);江西省教育厅科学技术研究项目(GJJ2200155)。

摘　　要：目的 系统评价我国肠造口患者心理痛苦检出情况,为制定干预措施提供依据。方法 检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Embase、Web of Science、CINAHL数据库从建库到2023年9月14日所收录的有关我国肠造口患者心理痛苦检出状况的横断面研究。由2名研究人员根据纳入和排除标准相互独立进行筛选文献、提取资料和文献质量评价。使用Stata 16.0软件进行Meta分析,采用随机效应模型合并效应量。结果 共纳入9篇文献,包含1 553例研究对象,其中出现显著心理痛苦844例。Meta分析结果显示,心理痛苦总检出率为56.8%[95%CI(48.2%,65.3%)]。亚组分析结果显示,2017年及以后发表研究肠造口患者心理痛苦检出率为57%,高于2016年及以前发表研究的54%;三线以下城市肠造口患者心理痛苦检出率为64.7%,高于二线城市的56.6%、一线城市的55.9%;样本量<120例的肠造口患者心理痛苦检出率为62%,高于样本量≥120例的研究为53%。敏感性分析提示研究结果稳定,漏斗图结合Egger检验显示无发表偏倚。结论 中国肠造口患者心理痛苦检出率较高,且心理痛苦与肠造口患者生活质量密切相关,需早期识别高危人群并尽早给予针对性的预防干预处理。Objective To systematically evaluate the detection of psychological distress in Chinese patients receiving enterostomy,and to provide evidences for formulating intervention measures.Methods Cross-sectional studies on the detection status of psychological distress in Chinese patients receiving enterostomy published from the time of database construction to September 14,2023 were searched in the China National Knowledge Infrastructure(CNKI),Wanfang,VIP,Chinese Biomedical Literature Database(CBM),PubMed,Embase,Web of Science,and Cumulative Index to Nursing and Allied Health Literature(CINAHL)databases.Literature screening,information extraction,and quality evaluation were independently performed by two researchers according to the inclusion and exclusion criteria.Meta-analysis was performed using Stata 16.0 software,and effect sizes were combined using the random effects model.Results A total of 9 literatures involving 1553 subjects were included,and 844 had significant psychological distress.Meta-analysis showed that the overall detection rate of psychological distress was 56.8%(95%CI 48.2%,65.3%).Subgroup analysis results showed that the detection rate of psychological distress in patients receiving enterostomy published in 2017 and since after was significantly higher than that published in 2016 and before(57%VS 54%).The detection rate of psychological distress in patients receiving enterostomy from third-tier cities and below was significantly higher than that in second-tier cities and first-tier cities(64.7%VS 56.6%VS 55.9%).The detection rate of psychological distress in patients receiving enterostomy of the cohort with the sample size<120 was significantly higher than that in the cohort with the sample size≥120(62%VS 53%).Sensitivity analysis suggested that the research results were stable,and the funnel plot combined with Egger test showed no publication bias.Conclusion The detection rate of psychological distress in Chinese patients receiving enterostomy is high.Psychological distress is closely related t

关 键 词：肠造口 心理痛苦 检出率 中国 META分析 

分 类 号：R735.3[医药卫生—肿瘤]