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心理/精神卫生
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Experiences of health professionals in screening for postpartum depressive symptoms: a qualitative systematic review.
Objective: The objective of this review is to assess and synthesize the available qualitative evidence on health professionals' experiences in screening for postpartum depression (PPD). Introduction: PPD is a significant public health problem. Clinical screening is essential to develop appropriate interventions to meet the needs of women and their families. The findings of this review have important implications for decision-making and policy development for continuous professional development programs that promote evidence-based PPD screening. Inclusion criteria: This review considered studies that explore the experiences of health professionals who screen for PPD in any geographic location at any health care facility, scenario, or setting. The review focused on qualitative data, including methods such as phenomenology, grounded theory, ethnography, action research, and feminist research. Methods: The review followed a 3-step search strategy in line with JBI methodology for systematic reviews of qualitative evidence. The databases searched included PubMed, CINAHL (EBSCOhost), Embase (Elsevier), Scopus, LILACS (BVS), ScienceDirect (Elsevier), PsycINFO (Ovid), Index Psi Journals (BVS-PSI), and PePsic (IPUSP). Unpublished studies were searched for in Google Scholar, Cybertesis, Dart-E, EthOS, and Open Access Theses and Dissertations (OATD). Two independent reviewers evaluated the included studies for methodological quality and extracted data using the JBI data extraction and synthesis tools. Studies published in English, Portuguese, and Spanish from database inception until October 2023 were included. Results: Twenty-four qualitative studies from 14 countries across 5 continents involving 392 health professionals were included. A total of 113 findings were extracted and grouped into 5 categories: i) education and training; ii) responsibility of PPD screening, referral, and follow-up: role of the job and work overload; iii) screening, referral, and follow-up; iv) disclosure, judgment, culture; v) and health system structure. Two synthesized findings evolved from these categories: i) The need for training and ongoing education, professional role, professional practice, and ways of caring in screening postpartum women for depressive symptoms; ii) External barriers, facilitating factors, and health system issues. Conclusions: Health professionals' experiences caring for women and families concerning PPD are influenced by their culture, practices, training, and worldview. Regular workshops and practical training sessions that emphasize the development of PPD-screening skills, particularly in recognizing subtle signs of depression and conducting culturally sensitive assessments, could be highly effective for health professionals. Policymakers should collaborate with health care professionals to develop and implement policies tailored to different contexts and cultures. Providing educational subsidies and ensuring monitoring and follow-up after PPD screening are fundamental for the sustainability of PPD screening and management.
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Health Economic Evaluation Evidence of Interventions for Peripartum Depression: A Scoping Review
This scoping review provides a broad overview of the existing literature on economic evaluations of preventive, screening, and treatment programmes for peripartum depression (PPD). PPD is one of the leading causes of disease-related disability among women. However, PPD often goes undiagnosed and untreated, with as many as half of cases not being identified. We followed the PICO-P (publication type) structure. Databases were searched from inception until 30 June 2023. The intervention stage in the studies was classified as prevention, screening, treatment, screening and treatment, and prevention and treatment. The health economics methods of the studies were divided into cost-effectiveness analysis, cost-utility analysis, cost-benefit analysis, cost-minimisation analysis, return of investment, and multiple. Ultimately, 38 studies were included for extraction and evaluation. Several interventions for PPD may be cost effective, including peer support, psychological therapies, and screening strategies using tools like the Edinburgh Postnatal Depression Scale (EPDS). However, study limitations include heterogeneity across studies, methodological limitations, and limited generalisability to diverse populations. The cost-effectiveness results of PPD interventions may differ across different health systems, partly due to differences in the amount and distribution of resources available. By implementing suggested policy recommendations, policymakers can significantly improve the identification, treatment, and prevention of PPD, ultimately improving the health and well-being of mothers, children, and families.
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基于SCL-90的中国潜艇部队官兵心理状况影响因素系统评价
目的 基于症状自评量表(symptom checklist 90,SCL-90)结果,探究中国潜艇部队官兵心理健康状况影响因素及其发展变化趋势。方法 利用Review Manager 5.3软件对中国知网(CNKI)、维普(VIP)、万方(Wanfang)等数据库自建库以来关于中国潜艇部队官兵SCL-90相关调查研究进行整理分析,根据不同影响因素进行系统评价。结果 共纳入9篇文献、20个组别,潜艇部队官兵共1 395人。潜艇部队官兵航后航前心理状况差异meta分析结果显示,潜艇部队官兵航后相较于航前的9个SCL-90因子平均效应量均为正值,其中躯体化、强迫、人际敏感、抑郁、焦虑、敌对、恐怖及精神病的差异均有统计学意义(均P0.05);核潜艇和常规潜艇心理状况差异meta亚组分析结果显示,核潜艇部队官兵总体的SCL-90因子相较于2016年军人常模的平均效应量均为正值,且躯体化、强迫、人际敏感、抑郁、焦虑、恐怖、偏执及精神病性的差异均有统计学意义(均P0.05)。常规潜艇官兵各...
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Mental health of adolescents in countries of South-East Asia: A policy review.
Background: In the World Health Organization (WHO) geographical region of South-East Asia, the mental health burden of adolescents appears high. Addressing this burden requires development of mental health policies consistent with international standards to assist governance, resource allocation and delivery of mental healthcare effectively. The aim was to identify current national mental health policies/plans/programs/legislation in South-East Asia, assess compliance with international standards and review inclusion of adolescents in these documents. Methods: Searches were conducted on WHO MiNDbank, official government websites, Google and Google Scholar. Documents were compiled and screened, data were extracted and evaluated following WHO Guidelines on Monitoring and Evaluation of Mental Health Policies and Plans. Frequencies of checklist and sub scores were calculated. Data were narratively synthesised. Findings: Fourteen mental health policies/plans/programs/legislation from 8 countries met inclusion criteria. Maldivian and Bangladeshi documents complied the greatest with WHO guidelines. All 8 countries considered adolescents to some extent in their documents. Only Indian documents consulted child health groups during policy development. Intra/Inter sectoral collaboration with child health divisions was highlighted in documents from Sri Lanka, Bangladesh, India and Maldives. Interpretation: Most South-East Asian nations had developed separate national mental health governance documents. However, their incorporation of adolescent mental health is rare and compliance with international standards were inconsistent. Binding mental health legislation separate from health legislation; inclusion of adolescents; addressing resource constraints; and guidelines for mental health policy development catered to low-and-middle-income countries are all essential to address the complex mental health needs of South-East Asian adolescents.
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Factors influencing the effectiveness of nature-based interventions (NBIs) aimed at improving mental health and wellbeing: An umbrella review.
Several systematic reviews support nature-based interventions (NBIs) as a mechanism of enhancing mental health and wellbeing. However, the available evidence for the effectiveness of these interventions is fragmentary and mixed. The heterogeneity of existing evidence and significant fragmentation of knowledge within the field make it difficult to draw firm conclusions regarding the effectiveness of NBIs. This can only limit the development of interventions to support personal and planetary wellbeing, potentially resulting in ineffective and ill-targeted investment decisions. These concerns have hindered the translation of research evidence into practice and guidelines are urgently required to assist researchers, practitioners and policymakers in developing interventions to promote environmental stewardship and meet the health needs of diverse communities. A higher-order or meta-level synthesis is required to make sense of this evidence. This umbrella review synthesises evidence on the barriers and enablers to nature-based interventions through a summative review of existing published systematic reviews and meta-analyses. A systematic search in PsycINFO, PubMed, Greenfile, Web of Science, Embase, Scopus, Academic Search Complete (EBSCO), Environment Complete (EBSCO), Cochrane Library, CINAHL, Health Policy Reference Centre and Google Scholar was performed. This is a mixed method review, and systematic reviews with both quantitative and qualitative data synthesis were included. 64 systematic reviews were included in the synthesis. The descriptive data, extracted from each study, forms an overview of the characteristics of available evidence on nature-based interventions. A narrative synthesis is used to present the potential factors influencing the outcomes of NBIs. The risk of bias of the systematic reviews was assessed using a 16-item Assessment of Multiple Systematic Reviews 2 (AMSTAR2) checklist. Directions for future research, potential quality needs and recommendations for future research, policymaking, and practice are discusssed.
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Interventions to Reduce Loneliness among Community-dwelling Older Adults: A Network Meta-analysis and Systematic Review.
Objectives: This study aimed to evaluate the effectiveness of interventions in reducing loneliness among community-dwelling older adults. Design: A network meta-analysis (NMA) and systematic review. Setting and participants: Interventional studies were included if they contained original quantitative data on interventions to reduce loneliness among community-dwelling older adults. Qualitative studies were included if they contained views on loneliness coping strategies or intervention evaluation. Methods: Six English databases and 3 Chinese databases were searched for studies published before August 2023. We extracted mean and standard deviation for the NMA to examine the overall effectiveness and efficacy of different interventions on loneliness. Thematic analysis was used to derive perspectives on coping strategies to mitigate loneliness. Results: Forty-six quantitative studies with 6049 participants and 40 qualitative studies with 1095 participants were included in the analysis. The pooled effect size was large and significant [standardized mean difference (SMD), -0.95; 95% CI, -1.32 to -0.58; P < .001], indicating a strong effect of interventions in reducing loneliness. Subgroup analyses revealed significant differences in effect sizes by study region and health risk. Results of the NMA suggested interventions seem to be most effective when having psychosocial interventions as the content, a combination of individual and group as the delivery mode, and a mixture of face-to-face and online methods as the contact mode. Findings of the qualitative synthesis revealed 2 main dimensions of activities for reducing loneliness, including delivery modes (individual or group or combination) and settings (indoor or outdoor or combination). Strategies for coping with loneliness at the social, cognitive, and behavioral levels were also identified. Conclusions and implications: The present study identified the most effective components of loneliness interventions in reducing loneliness among older adults. Findings offer important insights for practice and policy-making on potential strategies that can be used to reduce loneliness among community-dwelling older adults.
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Alienation and/or anomie in pharmacists: a protocol for a narrative systematic review
Introduction Episodes of alienation and/or anomie in pharmacists have been reported in historical accounts since the 19th century. Alienation and anomie are distinct types of psychological or social ills where people are problematically separated from, or their skills and values are misaligned with, others and their environment. Alienation and/or anomie can be important precursors of many negative work experiences, including job dissatisfaction, burnout and/or intention to leave.Methods and analysis We aim to study alienation and/or anomie in pharmacists from across the globe, reviewing all types of methodological designs, published in peer-reviewed journals, including all primary qualitative, quantitative and/or mixed-method research studies. We will narratively describe any focuses, causes, associated factors and/or consequences of alienation and/or anomie. We will identify all published peer-reviewed research by searching seven electronic databases (MEDLINE, Embase, APA PsychINFO, CINAHL Plus, Cochrane Library, Web of Science Core Collection and Scopus) and Google Scholar in May 2024. Extensive hand and citation-searching will also take place. Two independent reviewers will identify eligible studies, conduct a critical appraisal of the study conduct, extract data and synthesise reported findings by narratively exploring relationships within and between studies. The synthesis will follow a hybrid thematic analysis. Initially, we will deductively structure the findings according to six themes from underpinning alienation and anomie theory: Care, Values, Meaning, Recognition, Autonomy and Shared Responsibility. This structure may thereafter be inductively adapted, by creating new additional themes, if required from the data. A GRADE Confidence in the Evidence from Reviews of the Qualitative research approach will be used to determine a confidence profile of each theme. A thematic map showing the links between themes will also be produced.Ethics and dissemination Ethical permission is not required, as this study uses data from published research. Dissemination will be through publication in peer-reviewed journals and conference presentations.PROSPERO registration number CRD42024536336.
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SENTIMENT ANALYSIS OF CLINICAL EVALUATIONS IN HTA: EVIDENCE FROM CANADA, ENGLAND, SCOTLAND, SWEDEN, FRANCE, AND GERMANY
Objectives HTA agencies vary significantly in their methodology, interpretation of clinical evidence and reporting of recommendations. This research builds on established frameworks for assessing HTA outcomes and proposes a novel approach towards characterising and comparing clinical issues raised by HTA agencies. Methods HTA data from Canada, England, Scotland, Sweden, Germany, and France were extracted from an internal HTA database (HTA-Hive), constructed using a validated and published framework for the assessment of HTA outcomes. Clinical issues are categorised into: magnitude of clinical benefit, long-term clinical evidence, study design, generalizability, potential adverse events, comparators, and indirect comparisons. A total of 786 HTA reports (spanning 2009-2024) were included in the study. A sentiment analysis model VADER using the nltk package in Python was applied to the uncertainties to assess sentiment severity across agencies. Results There were total of 3,272 clinical uncertainties in the sample. The most common clinical uncertainty raised related to magnitude of clinical benefit (22.6%), while issues relating to appropriateness of comparator were the least frequent (8.3%). TLV had the worst average sentiment (-0.024), it was significantly worse than HAS, INESSS, IQWiG and NICE (p<0.005). NICE had the most positive (0.20), significantly better than CADTH, HAS, SMC, and TLV. The average compound sentiment across all clinical uncertainties was 0.11. The category with the lowest average sentiment was adverse effects (-0.209) highest was clinical benefit (0.34). Sentiment scores were highly variable across manufacturers with more than 10 reports (0.015 – 0.205). Average sentiment was similar across orphan and non-orphan medicines (0.133 vs 0.107) and significantly higher for oncology drugs vs other drugs (0.185 vs 0.069). Conclusions Natural Language Processing (NLP) techniques can help shed light on the severity of clinical issues raised in the context of HTA, which tend to vary according to HTA agency, type of uncertainty, therapeutic area and disease area.
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思维导图在癌症患者术后健康教育中应用效果的Meta分析
目的 系统评价思维导图在癌症患者术后健康教育中的应用效果。方法 检索PubMed、Web of Science、CINAHL、中国知网、万方知识服务平台、中国生物医学文献数据库中关于癌症患者思维导图式健康教育的随机对照试验,检索时限为建库至2024年3月。采用Cochrane 5.1.0文献质量评价标准对随机对照试验文献进行质量评价,采用Revman 5.4软件进行Meta分析。结果 共纳入21篇文献,包括1 850例患者。Meta分析结果表明,基于思维导图的健康教育可以减轻癌症患者术后的焦虑情绪[MD=-9.82,95%CI(-14.37,-5.27),P<0.01]、抑郁情绪[MD=-7.27,95%CI(-9.69,-4.85),P<0.01]、疼痛程度[MD=-1.03,95%CI(-1.75,-0.31),P<0.01],提高自我护理能力[MD=17.59,95%CI(15.22,19.95),P<0.01],缩短术后首次下床活动时间[MD=-12.51,95%CI(-16.76,-8.25),P<0.01],提高护理满意度[RR=1.23,95...
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自我表露干预对癌症患者心理健康促进效果的系统评价
目的 系统评价自我表露干预对癌症患者心理健康的促进效果,为提高癌症患者的生存质量提供循证证据。方法检索中国知网、万方数据、维普网、中国生物医学文献数据库、PubMed、Web of Science、Embase、Cochrane协作网中关于自我表露干预措施应用于各类癌症患者中的随机对照试验(RCT)文献,检索时间为建库至2023年12月31日,并采用RevMan 5.3软件对检索到的文献进行Meta分析。结果 共纳入10篇文献,研究对象总计1 252例。Meta分析结果显示,自我表露干预不仅能够提高癌症患者的痛苦表露水平[MD=3.92,95%CI(1.25,6.58),P=0.004],还能降低癌症患者对疾病复发的恐惧水平[MD=-1.04,95%CI(-1.66,-0.41),P=0.001]和抑郁水平[MD=-1.27,95%CI(-2.29,-0.25),P=0.01]。结论 自我表露干预可以提高癌症患者的痛苦表露水平,降低患者的疾病复发恐惧水平和抑郁水平,促进癌症患者心理健康。但本研究纳入的文献差异性较大,故今后还需进一步开展高质量的大样本量的随机对照试验,验证自我表露干预的...
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非药物干预减轻ICU转出病人家属迁移应激的网状Meta分析
目的:采用贝叶斯网状Meta分析技术对非药物干预方式减轻ICU转出病人家属迁移应激水平的效果进行评价。方法:计算机系统检索中国知网(CNKI)、Web of Science(SCIE)、Cochrane Library、Embase等中英文数据库,搜集不同非药物干预方式对减轻ICU转出病人家属迁移应激的随机对照试验(RCT),检索时限均为建库至2023年6月。使用Stata 15软件进行网状Meta分析。结果:共纳入15项RCT,累计研究患者1 186例,涉及5种非药物干预方式。结果显示:英文FRSS评分方面,减轻照顾者迁移应激水平的干预措施效果排序为行为改变轮模式>ICU联络护士>迁移手册>综合护理>认知行为干预。汉化版FRSS评分方面,减轻照顾者迁移应激水平的干预措施效果排序为迁移手册>认知行为干预>结构化健康教育>综合护理。FCTI评分方面,减轻照顾者迁移应激水平的干预措施效果排序为行为改变轮模式>ICU联络护士>迁移手册>综合护理。STAI评分方面,减轻照顾者迁移应激水平的干预措施效果排序为ICU联络护士>迁移手...
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Focusing attention on the important association between food insecurity and psychological distress: a systematic review and meta-analysis.
Background: Food insecurity has involved more than 750 million individuals worldwide. The association of food insecurity with socio-economic factors is also undeniable demand more consideration. Food insecurity will become a global priority by 2030. This systematic review and meta-analysis examined current literature concerning the association between food insecurity and psychological distress. Methods: Relevant researches were identified by searching databases including PubMed, EMBASE, Scopus, and Web of Science, ProQuest, and Cochrane Library up to June 2024 without language limitation. Then a snowball search was conducted in the eligible studies. The quality assessment was made through Newcastle-Ottawa Scale. Results: Data were available from 44 cross-sectional articles for systematic review and 17 eligible articles for meta-analysis with 2,267,012 and 1,953,636 participants, respectively. Findings support the growing segment of literature on the association between food insecurity and psychological distress. The highly represented groups were households with low income. Psychological and diabetic distress was directly associated with food insecurity as it increased the odds of distress to 329% (OR: 3.29; 95% CI: 2.46-4.40). Sleep problems, anxiety, depression, lower life satisfaction, obesity, and a higher rate of smoking were among the secondary outcomes. Conclusion: Food insecurity was a common stressor that can have a negative impact on psychological well-being and even physical health. The findings should be considered in the public health and making policy-making process.
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健康教育干预对胰腺癌患者术后自我效能及心理状态影响的Meta分析
目的 探讨健康教育对胰腺癌患者术后自我效能及心理状态的影响,以期为胰腺癌患者的术后康复管理提供参考和依据。方法 采用复合逻辑检索方式,以“Pancreatic cancer”、“Pancreatic Neoplasms”、“Self Efficacy”、“Randomized controlled trial”、“健康教育”、“胰腺癌”等为检索词,对PubMed、中国知网等数据库的相关文献进行检索,检索时间为建库起至2023年10月31号,并筛选胰腺癌患者术后实施健康教育的文献。采用Cochrane协作网的风险偏倚评估工具对Meta分析最终纳入的文献进行评价,Rev Man 5.3软件进行Meta分析,以u检验(Z test)来判断合并统计量间是否存在统计学意义,根据u值计算出P值,并以α=0.05作为检验水准。结果 最终纳入11篇文献进行Meta分析,患者自我效能感积极应对评分的合并结果显示,Z=34.82(P<0.001),差异有统计学意义。自我效能感消极应对评分的合并结果显示,Z=12.12(P<0.001),差异有统计学意义。患者心理功能评分的合并结果显示,标准化均...
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健康教育干预对卵巢癌患者生活质量及不良情绪影响的国内文献meta分析
目的 研究健康教育干预对卵巢癌患者生活质量及不良情绪的影响,以期为卵巢癌康复领域的护理实践提供循证依据。方法 使用检索词“Health education”、“Ovarian cancer”、“Ovarian neoplasms”、“Randomized controlled trial”、“健康教育”、“卵巢癌”和“卵巢肿瘤”等检索常用英文数据库(PubMed、Embase、Medline)和中文数据库(中国知网、万方、维普),并筛选以健康教育(包括引导式健康教育、路径式健康教育等不同模式)为主要干预手段进行卵巢癌患者治疗后干预的参考文献。Review Manager 5.3软件进行Meta分析,以u检验(Z test)来判断合并统计量间是否存在统计学意义,根据u值计算出P值,并以α=0.05作为检验水准。结果 共计纳入13项研究进行meta分析,共有6项研究分析了患者疾病相关知识认知评分,采用固定效应模型分析,结果显示,Z=15.36,P<0.001。共有6项研究结局指标包含了患者总体健康状况评分,采用固定效应模型分析,结果显示,Z=16.45,P<0.001,差异有统计学意义。患者焦虑状况评分合并后的SMD值为-0.85,95%置信区间为[-1.00~-0.71]。采用固定效应模型分析,结果 Z=11.58,P<0.001。患者抑郁状况评分合并后的SMD值为-0.81,95%置信区间为[-0.95~-0.66]。采用固定效应模型分析,结果显示,Z=10.99,P<0.001。结论 卵巢癌患者治疗后实施健康教育有助于提升患者生活质量,缓解焦虑抑郁等不良情绪,并可提高患者对疾病的认知,从而改善治疗依从性,值得进一步推广。
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非药物干预对肝癌患者抑郁影响的网状Meta分析
目的 探讨并比较不同非药物干预方法对肝癌患者抑郁的影响。方法 计算机检索中国生物医学文献数据库(CBM)、中国知网(CNKI)、万方期刊数据库(WanFang)及维普数据库(VIP)、Embase、PubMed、The Cochrane Library、Web of Science数据库公开发表的有关非药物干预对肝癌患者抑郁影响的文献。设定检索时限为自建库起至2022年12月31日止。由2名研究员独立筛选文献和提取数据,并采用Stata 16.0软件进行数据分析。结果 共纳入34篇文献(均为随机对照试验研究),包含8种非药物干预方法,合计3 585例肝癌患者,20篇文献质量评价为A级或B级。网状Meta分析结果显示,正念疗法[SMD=0.26,95%CI(0.05,0.47)]、健康教育[SMD=0.21,95%CI(0.12,0.30)]和认知行为疗法[SMD=0.18,95%CI(0.04,0.33)]对抑郁的缓解效果均优于常规护理组,差异有统计学意义(P...
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散偏远部队官兵心理健康状况元分析
目的 了解近10年来散偏远部队官兵的心理健康水平及变化情况,为散偏远部队官兵的心理健康评估和干预工作提供指导。方法 检索中国知网、万方和维普等全文数据库中运用症状自评量表进行评估的符合标准的文献,并用R软件包“Meta”(版本6.2-1)进行元分析。结果 经筛选后纳入16篇文献,研究对象5 375名,合并效应量结果显示抑郁、人际敏感、躯体化和焦虑因子高于2016版军人常模(WMD=0.29、0.26、0.26、0.24,P均<0.001);亚组分析结果表明,人际敏感和强迫因子在不同地域组间差异有统计学意义(Q=12.8、5.83,P<0.01、=0.05);元回归分析结果表明人际敏感受到研究年份和实验组样本量的影响;抑郁因子受到实验组样本量的影响;敌对因子受到被试者年龄的影响。结论 散偏远部队官兵的心理健康水平明显低于2016版军人常模,问题主要集中于抑郁、人际敏感、躯体化和焦虑方面,个别因子受研究年份和实验组样本量等影响。
研究证据
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阿尔茨海默病患者家庭照顾者抑郁发生率及影响因素的Meta分析
目的 系统评价阿尔茨海默病(AD)患者家庭照顾者抑郁发生率及影响因素,为AD患者家庭照顾者抑郁防治提供参考依据。方法 检索中国知网、万方数据知识服务平台、PubMed等数据库自建库至2023年6月15日发表的AD患者家庭照顾者抑郁相关研究,采用美国卫生保健研究和质量机构推荐的评价标准和纽卡斯尔-渥太华量表分别对横断面研究和队列研究的文献质量进行评价。采用Stata 16.0和RevMan 5.4软件对AD患者家庭照顾者抑郁发生率及影响因素进行Meta分析,并对结果进行敏感性分析和发表偏倚评价。结果 检索获得文献2 324篇,最终纳入14篇,总样本量为8 313人;其中高质量文献6篇,中等质量文献8篇。Meta分析结果显示,AD患者家庭照顾者抑郁发生率为37.5%(95%CI:30.2%~45.1%);患者痴呆程度高(OR=1.718,95%CI:1.059~2.789)、患者日常生活活动能力量表评分低(OR=1.344,95%CI:1.059~1.706)、患者精神行为异常(OR=1.248,95%CI:1.155~1.348)、照顾时间较长(OR=1.998,95%CI:1.637~...
研究证据
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Integrated psychological care in pediatric hospital settings for children with complex chronic illness and their families: A systematic review
Objective: To synthesize and critically evaluate evidence on the effectiveness of integrated psychological care models for children with complex chronic illness within pediatric hospital settings and provide recommendations for successful implementation. Design: Six electronic databases (Medline, Cochrane, Embase, PsycINFO, Scopus, CINAHL) were systematically searched for English language studies including families of children aged 0-17 years with complex chronic illness. Eligible studies reported on psychology or neuropsychology screening, assessment, intervention, or services provided within a pediatric hospital setting. Results: Fifteen studies were identified for review; nine assessed a psychological service, five examined psychosocial screening, and one examined a neuropsychology service. Three studies demonstrated the effectiveness of integrated psychological services in improving child or parent physical, psychological, or behavioral health outcomes. Uptake of psychosocial screening was high (84-96%), but only 25-37% of children or families identified as 'at-risk' engaged with on-site psychology services. Integrated psychological services offering consultations at the same time and location as the child's medical visit reported the highest rates of uptake (77-100%). Conclusions: The available evidence supports co-location of child medical and psychological services. A more consistent and comprehensive approach to the assessment of patient- and caregiver-reported outcomes and implementation effectiveness is recommended.
研究证据
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突发公共卫生事件背景下体育运动对大学生心理健康促进作用的Meta分析
目的:2020年1月31日,世界卫生组织将新型冠状病毒肺炎疫情列为突发公共卫生事件,通过回顾新冠疫情期间国内外有关体育运动干预大学生心理健康的研究,探析体育运动对大学生心理健康的促进作用,为做好突发公共卫生事件影响下的大学生心理健康服务工作提供科学依据。方法:通过检索中国知网、万方、维普以及Web of Science、PubMed、ProQuest、IEEE等中英文数据库,搜集疫情背景下运用体育运动干预大学生心理健康的随机对照试验研究,应用Review Manager软件(RevMan5.4)进行Meta分析。结果:共纳入文献28篇(其中英文14篇、中文14篇),共计3438名研究对象。针对不同评价工具进行分析的效应量结果表明,干预组在SCL-90、SDS、DASS-21、PSS-10的得分显著优于控制组。结论:通过八段锦、太极、瑜伽等体育运动的干预,可以改善疫情期间大学生的心理健康问题。
研究证据
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编辑心理健康状况Meta分析
目的 探讨编辑的心理健康状况,为提高其心身健康水平及出版物质量提供依据。方法制定文献纳入标准和剔除标准,以编辑、心理健康、心理为检索词,在万方数据知识服务平台、中国期刊全文数据库(中国知网)、中文科技期刊数据库进行文献检索,收集有关编辑心理健康状况的文献资料。由2名调查人员分别独立地进行文献检索及数据提取工作,之后对相关数据进行分析整理。结果 最终共纳入7篇文献,共722名编辑。本组编辑中检出阳性症状224名,检出率为31.0%;阳性症状检出率排名前4位的依次为强迫症状(26.7%)、人际关系敏感(21.3%)、抑郁(19.9%)、躯体化(19.8%)。325名编辑检出中度以上心理问题42例,检出率为12.9%;各症状检出率排名前3的依次为强迫症状、敌对、躯体化。结论 31.0%的编辑处于心理亚健康状态,应对其予以有针对性的干预提高其心理健康水平。
研究证据
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