中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
30期
56-60
,共5页
认知行为疗法%精神分裂症%阴性与阳性症状%Meta分析
認知行為療法%精神分裂癥%陰性與暘性癥狀%Meta分析
인지행위요법%정신분렬증%음성여양성증상%Meta분석
Cognitive behavior therapy%Schizophrenia%PANSS%Meta analysis
目的 系统评价认知行为疗法对精神分裂症患者康复的效果.方法 利用计算机检索国内相关文献,根据Note Express软件进行文献筛选和查重,对纳入符合标准的随机或非随机对照实验采用RevMan5.2软件进行数据合并分析.结果 共纳入1 1篇文献,根据干预时间的不同分析,结果显示,认知行为疗法干预2个月时,I2为80％,故采用随机效应模型分析,统计结果[SMD=-0.64,95％CI(-1.14～-1.13),P＜0.05];干预6个月时,I2为64％,随机效应模型分析其结果为[SMD=-0.40,95％CI(-0.71～-0.08),P＜0.05],干预12个月时,其统计结果为固定效应模型[MD=-5.65,95％CI(-6.20～-5.09),P＜0.01].更换统计模型进行敏感性分析结果显示,研究结果稳定性高,结论可靠.结论 认知行为疗法可以减轻精神分裂症患者的阴阳性症状,但因患者病情影响等因素,有一定的时间限制,故本研究认为,对患者临床症状的改善最好干预时间在6个月～1年.
目的 繫統評價認知行為療法對精神分裂癥患者康複的效果.方法 利用計算機檢索國內相關文獻,根據Note Express軟件進行文獻篩選和查重,對納入符閤標準的隨機或非隨機對照實驗採用RevMan5.2軟件進行數據閤併分析.結果 共納入1 1篇文獻,根據榦預時間的不同分析,結果顯示,認知行為療法榦預2箇月時,I2為80％,故採用隨機效應模型分析,統計結果[SMD=-0.64,95％CI(-1.14～-1.13),P＜0.05];榦預6箇月時,I2為64％,隨機效應模型分析其結果為[SMD=-0.40,95％CI(-0.71～-0.08),P＜0.05],榦預12箇月時,其統計結果為固定效應模型[MD=-5.65,95％CI(-6.20～-5.09),P＜0.01].更換統計模型進行敏感性分析結果顯示,研究結果穩定性高,結論可靠.結論 認知行為療法可以減輕精神分裂癥患者的陰暘性癥狀,但因患者病情影響等因素,有一定的時間限製,故本研究認為,對患者臨床癥狀的改善最好榦預時間在6箇月～1年.
목적 계통평개인지행위요법대정신분렬증환자강복적효과.방법 이용계산궤검색국내상관문헌,근거Note Express연건진행문헌사선화사중,대납입부합표준적수궤혹비수궤대조실험채용RevMan5.2연건진행수거합병분석.결과 공납입1 1편문헌,근거간예시간적불동분석,결과현시,인지행위요법간예2개월시,I2위80％,고채용수궤효응모형분석,통계결과[SMD=-0.64,95％CI(-1.14～-1.13),P＜0.05];간예6개월시,I2위64％,수궤효응모형분석기결과위[SMD=-0.40,95％CI(-0.71～-0.08),P＜0.05],간예12개월시,기통계결과위고정효응모형[MD=-5.65,95％CI(-6.20～-5.09),P＜0.01].경환통계모형진행민감성분석결과현시,연구결과은정성고,결론가고.결론 인지행위요법가이감경정신분렬증환자적음양성증상,단인환자병정영향등인소,유일정적시간한제,고본연구인위,대환자림상증상적개선최호간예시간재6개월～1년.
Objective To assess systematically the effect of (cognitive behavior therapy,CBT) on PANSS of schizophrenia.Methods Relative literature was searched by computer at home according to the inclusion and the exclusion criteria,which were analyzed by RevMan5.2 software,and literature selection and repetition were used according to the Note Express software.Results A total of 11 studies were brought into the study.According to the different time of intervention,the results showed that,the cognitive behavior therapy intervention continued for 2 months,I2 was 80％,the statistical result of random effects model analysis was [SMD=-0.64,95％CI (-1.14～-1.13),P＜0.05]; the cognitive behavior therapy intervention continued for 6 months,I2 was 64％,the statistical result of random effects model analysis was [SMD=-0.40,95％CI (-0.71,-0.08),P＜0.05]; the cognitive behavior therapy intervention continued for 12 months,the statistical result of fixed effects model analysis was[MD=-5.65,95％CI(-6.20,-5.09),P＜0.01].The replacement of statistical models for the sensitive analysis showed that the result was stabile and reliable.Conclusions The cognitive behavior therapy may reduce PANSS of patients with schizophrenia,But because the influence of some factors,the time of intervention is limited,so the result of this research is that the best intervention time for clinical symptoms improvement is from 6 months to 1 year.
