心理干预对心血管疾病患者临床疗效的影响：系统回顾与荟萃分析

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2024-09-19 DOI:10.1016/j.jpsychores.2024.111938

Yangfan Nie , Naijuan Wang , Meixuan Chi , Anan Li , Siying Ji , Zhaoying Zhu , Shan Li , Yunying Hou

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引用次数: 0

摘要

方法我们检索了 PubMed、Web of Science、Embase、Cochrane Library 和 CINAHL 等数据库从建立到 2023 年 8 月 1 日的内容。纳入了对心血管疾病患者进行心理干预的随机对照试验（RCT）。使用Review Manager 5.3和Stata 17.0进行统计分析，并以相对风险（RR）和95%置信区间（CI）的形式显示汇总结果。结果显示，心理干预可降低心脏病死亡率（RR = 0.81，95 % CI = 0.68 至 0.96）、心肌梗死（RR = 0.79，95 % CI = 0.69 至 0.89）、心律失常（RR = 0.61，95 % CI = 0.42 至 0.89）和心绞痛（RR = 0.92，95 % CI = 0.87 至 0.97）的发生率。结论心理干预可以降低心血管疾病患者的心脏死亡率以及心肌梗死、心律失常和心绞痛的发生率。将心理干预纳入心血管疾病患者的现有治疗和管理至关重要。应进行高质量的 RCT 研究，探索最佳的心理干预方法和最大的受益者。

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Effects of psychological interventions on clinical outcomes in patients with cardiovascular diseases: A systematic review and meta-analysis

Objective

To perform a systematic review and meta-analysis to evaluate the effects of psychological interventions on the clinical outcomes of patients with cardiovascular diseases (CVDs).

Methods

We searched PubMed, Web of Science, Embase, the Cochrane Library, and CINAHL from the establishment of each database to August 1, 2023. Randomized controlled trials (RCTs) on psychological interventions in patients with CVDs were included. Statistical analyses were performed using Review Manager 5.3 and Stata 17.0, and pooled measures were presented as the relative risk (RR) and 95 % confidence interval (CI).

Results

A total of 32 studies were included, involving 15,814 patients. Our results showed that psychological interventions could reduce cardiac mortality (RR = 0.81, 95 % CI = 0.68 to 0.96) and the occurrence of myocardial infarction (MI) (RR = 0.79, 95 % CI = 0.69 to 0.89), arrhythmia (RR = 0.61, 95 % CI = 0.42 to 0.89) and angina (RR = 0.92, 95 % CI = 0.87 to 0.97). However, no statistically significant differences were detected in the risk of all-cause mortality, all-cause rehospitalization rates, cardiac rehospitalization rates, revascularization, heart failure (HF), or stroke between the psychological intervention and control groups.

Conclusions

Psychological interventions can reduce cardiac mortality and the occurrence of MI, arrhythmia, and angina in patients with CVDs. It is crucial to incorporate psychological interventions into the existing treatment and management of patients with CVDs. High-quality RCTs should be conducted to explore the optimal psychological intervention methods and the maximum beneficiaries.

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来源期刊

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.