本文選題：護(hù)理　切入點(diǎn)：治療性溝通　出處：《重慶醫(yī)科大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：目的采用Meta分析的方法對(duì)有關(guān)治療性溝通干預(yù)效果的對(duì)照研究進(jìn)行分析,探討治療性溝通對(duì)腫瘤患者圍手術(shù)期焦慮的影響效果,為治療性溝通的應(yīng)用提供循證依據(jù)。方法制定檢索策略后,計(jì)算機(jī)檢索Pubmecd、。EMbase、Cochrane Library、中國(guó)生物醫(yī)學(xué)文獻(xiàn)數(shù)據(jù)庫(kù)(CBM)、中國(guó)知網(wǎng)(CNKI)、中文科技期刊數(shù)據(jù)庫(kù)(CSJD)和萬(wàn)方期刊全文數(shù)據(jù)庫(kù),同時(shí)輔以手工檢索相關(guān)文獻(xiàn),全面收集有關(guān)治療性溝通對(duì)腫瘤患者圍手術(shù)期焦慮影響的對(duì)照研究。制定文獻(xiàn)納入及排除標(biāo)準(zhǔn)。由2名研究者分別獨(dú)立篩選文獻(xiàn),對(duì)符合納入標(biāo)準(zhǔn)的文獻(xiàn)進(jìn)行質(zhì)量評(píng)價(jià)。應(yīng)用Review Manager5.2軟件進(jìn)行Meta分析。采用加權(quán)均數(shù)差(WMD)及95%可信區(qū)間(CI)表示計(jì)量資料。在對(duì)數(shù)據(jù)分析前,對(duì)納入研究進(jìn)行異質(zhì)性檢驗(yàn),當(dāng)異質(zhì)性檢驗(yàn)P0.05,則認(rèn)為納入研究間具有統(tǒng)計(jì)學(xué)同質(zhì)性,結(jié)果采用固定效應(yīng)模型(fixed effects model)分析；當(dāng)P≤0.05,則認(rèn)為納入研究間存在統(tǒng)計(jì)學(xué)異質(zhì)性,結(jié)果采用隨機(jī)效應(yīng)模型(random effects model)分析。結(jié)果共納入7篇文獻(xiàn),納入研究對(duì)象506例,其中治療性溝通和常規(guī)護(hù)理干預(yù)組256例,常規(guī)護(hù)理對(duì)照組250例。Meta分析結(jié)果顯示,治療性溝通可改善腫瘤患者圍手術(shù)期的焦慮[MD=-8.00,95%CI(-8.91,-7.10), P 0.00001],提高腫瘤患者圍手術(shù)期積極應(yīng)對(duì)[MD=5.50,95%CI (4.05,6.95), P0.00001],降低腫瘤患者圍手術(shù)期消極應(yīng)對(duì)[MD=-7.62,95%CI (-9.13,-6.11), P0.00001],提升腫瘤患者的護(hù)理滿意度[MD=0.55,95%CI (0.33,0.77), P0.00001],差異有統(tǒng)計(jì)學(xué)意義。結(jié)論本文匯總分析了多項(xiàng)與治療性溝通有關(guān)的研究,Meta分析顯示,治療性溝通與常規(guī)護(hù)理相比,前者有助于減輕腫瘤患者圍手術(shù)期的焦慮,改善腫瘤患者的特質(zhì)應(yīng)對(duì)方式,提高腫瘤患者對(duì)護(hù)理服務(wù)的滿意度。由于納入本研究的數(shù)量尚有限,需要后續(xù)大樣本研究以進(jìn)一步深入探討并明確治療性溝通對(duì)腫瘤患者圍手術(shù)期焦慮的干預(yù)效果,必要時(shí)可將該方法更廣泛應(yīng)用于其他患者的輔助性治療。
[Abstract]:Objective to investigate the effect of therapeutic communication on perioperative anxiety of tumor patients by using Meta analysis. Methods after formulating search strategy, we searched Pubmecdr. EMbase Cochrane Library, Chinese Biomedical Literature Database (CBMN), Chinese Journal of Science and Technology (CNKI), Chinese Journal of Science and Technology (CSJDD) and Wanfang Journal Full-text Database. At the same time, the related literature was retrieved by hand, and a comparative study on the effect of therapeutic communication on perioperative anxiety of tumor patients was collected. The criteria for inclusion and exclusion of the literature were established. The literature was independently screened by two researchers. To evaluate the quality of the literature that meets the inclusion criteria. Meta analysis was carried out with Review Manager5.2 software. The weighted mean difference (WMD) and the 95% confidence interval (CI) were used to represent the measurement data. Before the data were analyzed, the heterogeneity of the inclusion study was tested. When the heterogeneity test is P0.05, it is considered that there is statistical homogeneity among the inclusion studies, and the results are analyzed by fixed effect model fixed effects model, and when P 鈮，

本文編號(hào)：1627202