关节炎自我管理项目对患者自我效能感和抑郁干预效果的系统评价.PDFVIP

82 Journal of Nursing Science Apr. 2011 Vol26 No ( General Medicine) 1 1* 2 杜世正 , 袁长蓉 , 肖娴 : 评价关节炎自我管理项目对患者自我效能感和抑郁的干预效 检索 MedlineEmbase 和 CBMdisc 数据库, 收 集符合纳入标准的关节炎自我管理项目随机对照试验, 并进行文献质量评鉴和数据提取, 依据重复测量多时间点 Meta 分析原 则, 采用RevMan5.0 进行统计学处理 最终纳入 16 篇文献M et a 分析结 显示, 关节炎自我管理项目组在4 个月和12 个 月时的自我效能感得分均高于对照组, 4 个月时抑郁得分低于对照组, 差异有统计学意义( 均P 0.01) 关节炎自我管理项 目能够提升患者的自我效能感, 对改善抑郁也有短期效 : 关节炎; 自我管理项目; 自我效能感; 抑郁; 系统评价; Meta 分析 : R4 3. 5 :A : 10014 152( 2011) 0 008204 DOI 10. 38 0/ hlxzz. 2011.0 . 082 : Effects of arthritis selfmanagement programs on selfefficacy and depression level of patients: a systematic reviewDu Shiz heng , Yuan Changrong , X iao X ian (S chool of N ursing , The Second M ill itary Med ical University , S hang hai2 433 , China) Abstract: Objective To explore effect s of arthritis selfmanagement programs ( ASM Ps) on selfefficacy and depression of arthrit is patients by systematic review .Methods T hree electronic databases, including Medline, Embase and CBM disc, were used to search randomized controlled trials ( RCTs) ,w hich met the inclusion criteria, on ASM P. After quality appraisal of the retrieved papers and extract ion of dat a, all timepoint s metaanalysis was performed by RevMan 5. 0. ResultsSixteen RCTs were included. Metaanalysis show ed that, com pared with the control group, selfmanagement program group had significant improvements in scores of selfeffi cacy at 4 months and 12 months (P 0.01 for bot h) and a significant reduction in depression score at 4 months (P 0. 01) . Conclu sion ASMPs have a positive role in im proving patients selfefficacy and alleviating depression in the shortterm. ey words: arthritis; selfmanagement programs; selfefficacy; depression; systematic review ; Metaanalysis , : ( arthriti