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护理学报 ›› 2021, Vol. 28 ›› Issue (4): 36-42.doi: 10.16460/j.issn1008-9969.2021.04.036

• 循证护理 • 上一篇    下一篇

基于互联网认知行为疗法对产妇负性情绪干预效果的Meta分析

徐思英1,2, 黄莹1, 刘丽华1, 胡雅1   

  1. 1.湖南师范大学医学院 护理系,湖南 长沙 410006;
    2.韶关学院医学院,广东 韶关 512026
  • 收稿日期:2020-10-30 出版日期:2021-02-25 发布日期:2021-03-12
  • 通讯作者: 刘丽华（1977-）,女,湖南邵阳人,博士,副教授。
  • 作者简介:徐思英（1988-）,女,广东茂名人,本科学历,硕士研究生在读。
  • 基金资助:
    2018年湖南省研究生科研创新项目（CX2018B306）; 2019年湖南师范大学医学—人文社会科学交叉科学研究项目（2019yw05）

Effect of Internet-based Cognitive Behavior Therapy on Negative Emotion of Primiparas: A Meta Analysis

XU Si-ying1,2, HUANG Ying1, LIU Li-hua1, HU Ya1   

  • Received:2020-10-30 Online:2021-02-25 Published:2021-03-12

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摘要： 目的 通过Meta分析评价基于互联网认知行为疗法对产妇负性情绪的干预效果。方法 计算机检索万方、维普、中国知网、中国生物医学文献数据库、Web of Science、Cochrane Library、PubMed、Embase、CINAHL Complete、Wily online library、PsycInfo数据库,收集基于互联网认知行为疗法干预产妇的的随机对照试验,检索时限为建库起至2020年2月,由2名研究人员独立根据纳排标准进行文献筛选,质量评价和资料提取,采用RevMan 5.3进行Meta分析。结果 共纳入10项随机对照试验,总计1 736例患者。Meta分析结果显示：应用基于互联网认知行为疗法在改善产后抑郁[SMD=-0.66,95%CI（-0.79,-0.54）,P<0.01]、焦虑[SMD=-0.41,95%CI（-0.56,-0.26）,P<0.01]、压力[SMD=-0.76,95%CI（-0.94,-0.58）,P<0.01]症状和减轻怀孕损失悲痛感[SMD=-0.59,95%CI（-0.82,-0.37）,P<0.01]方面优于对照组,在治疗依从性上差异无统计学意义（P=0.17）。结论 基于互联网认知行为疗法能有效改善产妇的产后抑郁、焦虑和压力症状,但在治疗依从性方面缺乏证据支持,需要更多高质量的研究进行验证。

关键词: 互联网, 认知行为疗法, 产后, 焦虑, 抑郁, 压力, Meta分析

中图分类号: 

  • R473.71
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