认知行为疗法对HIV感染者和AIDS患者抑郁、服药依从性和生活质量影响的系统评价

被引：15

作者：

傅亮 ^{[1
,2
]}

吴密彬 ^{[1
,2
]}

胡雁 ^{[1
,2
]}

机构：

[1] 复旦大学护理学院

[2] 复旦大学JBI循证护理合作中心

来源：

中国循证医学杂志 | 2014年 / 06期

关键词：

艾滋病; 认知行为疗法; 抑郁; 服药依从性; 生活质量; 系统评价; Meta分析; 随机对照试验;

D O I：

暂无

中图分类号：

R473.5 [内科护理学];

学科分类号：

1011 ;

摘要：

目的系统评价认知行为疗法对改善HIV感染者和AIDS患者抑郁,提高服药依从性和生活质量的效果。方法计算机检索h e Cochrane Library(2013年第4期)、Ovid-JBI、PubMed、EMbase、PsycARTICLES、CBM和CNKI数据库,收集关于认知行为疗法对改善HIV感染者和AIDS患者抑郁,提高服药依从性和生活质量的随机对照试验,检索时限均为建库至2013年4月30日。由2名研究者按照纳入与排除标准筛选文献、提取资料并评价质量后,采用RevMan 5.2软件进行Meta分析。结果共纳入17个研究,2 163例患者。Meta分析结果显示,认知行为疗法在6个月内能够改善HIV感染者和AIDS患者的抑郁[SMD=–0.26,95%CI(–0.41,–0.10),P=0.001]和提高患者生活质量[SMD=–0.57,95%CI(–1.04,–0.11),P=0.02],也能提高患者长期服药依从性[WMD=3.98,95%CI(1.67,6.30),P=0.000 8]。结论认知行为疗法对改善HIV感染者和AIDS患者的抑郁和提高生活质量具有较好的短期效果,对提高服药依从性具有长期效果。

引用

页码：734 / 742

页数：9

共 15 条

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