Effects of long-term oxygen therapy on the mental state of patients with chronic obstructive pulmonary disease: A systematic review.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Chronic Illness Pub Date : 2024-12-01 Epub Date: 2023-07-13 DOI:10.1177/17423953231187169

Xiaohan Zhang, Fei Fei

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引用次数: 0

Abstract

Objectives: This systematic review aimed to examine the effects of long-term oxygen therapy on the mental state of patients with chronic obstructive pulmonary disease.

Methods: Web of Science, Medline, CINAHL, EMBASE, ProQuest, and Cochrane Library were selected to search for relevant studies. We followed the Cochrane Handbook for Systematic Reviews of Interventions, adopted the Cochrane risk-of-bias tool and Risk Of Bias In Non-randomized Studies of Interventions tool, and synthesized the outcomes narratively with Grading of Recommendations, Assessment, Development and Evaluations evidence profile.

Results: Six studies were included. Moderate quality of evidence supported no effects of long-term oxygen therapy on the mental state in patients with severe resting hypoxemia and moderate resting hypoxemia (or exertional desaturation) at follow-up of 6 to 12 months; however, adverse effects on mental state among patients with moderate resting or exertional desaturation were reported at the follow-up of 36 to 48 months.

Discussion: Nurses should focus on the mental state of patients treated with long-term oxygen therapy, especially those who use it for a prolonged time. Due to ethical constraints in this study, a quasi-experimental study with faithful consideration of internal validity can be commenced in the future.

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长期氧疗对慢性阻塞性肺疾病患者精神状态影响的系统评价

目的：本系统综述旨在探讨长期氧疗对慢性阻塞性肺疾病患者精神状态的影响。方法：选取Web of Science、Medline、CINAHL、EMBASE、ProQuest、Cochrane Library检索相关研究。我们遵循Cochrane干预措施系统评价手册，采用Cochrane干预措施的风险-偏倚工具和非随机研究的偏倚风险工具，并采用推荐分级、评估、发展和评价证据概要对结果进行叙事性综合。结果：纳入6项研究。中等质量的证据支持在随访6 ~ 12个月时，长期氧疗对重度静息低氧血症和中度静息低氧血症（或劳累性去饱和）患者的精神状态无影响；然而，在36至48个月的随访中，中度静息或劳累去饱和对患者精神状态的不良影响被报道。讨论：护理人员应关注长期氧疗患者的精神状态，特别是长时间氧疗患者。由于本研究的伦理约束，未来可以开展忠实考虑内部效度的准实验研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.