Sílvia Ramos, Aramid Gomes, Ana Rosinhas, Rosa Silva, Margarida Goes, Francisco Sampaio
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引用次数: 0
摘要
目的：本综述的目的是评估生理和心理联合干预对成年慢性阻塞性肺疾病（COPD）患者焦虑和抑郁症状的有效性。以残疾调整生命年衡量，到2030年，COPD预计将成为第三大死亡原因和第七大健康影响原因。与其他合并症一样，焦虑和抑郁障碍影响预后。对于焦虑和抑郁症状，生理和心理联合干预可能比单独干预效果更好。纳入标准：将考虑纳入有慢性阻塞性肺病和焦虑、抑郁症状的成人患者，这些患者已接受了生理和心理联合干预。本综述将主要包括随机临床试验。方法：文章将在CINAHL， Cochrane中央对照试验注册库，学术检索完成，心理学和行为科学收集（通过EBSCOhost）， APA PsycINFO, PubMed， Web of Science核心收集和Scopus中检索。两名独立审稿人将选择研究并应用JBI工具进行关键评估和数据提取。只要有可能，这些研究将被汇总到一个荟萃分析中。χ2检验和I2统计量将是评估异质性的标准工具。采用随机效应模型进行统计分析。如果纳入的研究间异质性较低，则采用固定效应模型（2综述注册号：PROSPERO CRD42024550523）。
Effectiveness of combined physical and psychological interventions for anxiety and depression symptoms in adult patients with chronic obstructive pulmonary disease: a systematic review protocol.
Objective: The objective of this review is to evaluate the effectiveness of combined physical and psychological interventions for anxiety and depression symptoms in adult patients with chronic obstructive pulmonary disease (COPD).
Introduction: By 2030, COPD is expected to be the third-leading cause of death and the seventh-leading cause of health problems in terms of overall health impact, measured in disability-adjusted life years. As with other comorbidities, anxiety and depressive disorders influence the prognosis. Combined physical and psychological interventions may have better results than isolated interventions for symptoms of anxiety and depression in patients with COPD.
Inclusion criteria: Studies of adult patients with COPD and anxiety and depression symptoms who have undergone combined physical and psychological interventions will be considered for inclusion. This review will primarily include randomized controlled trials.
Methods: Articles will be searched in CINAHL (via EBSCOhost), Cochrane Central Register of Controlled Trials, Academic Search Complete, Psychology and Behavioral Sciences Collection (via EBSCOhost), APA PsycINFO, PubMed, Web of Science Core Collection, and Scopus. Two independent reviewers will select the studies and apply the JBI tools for critical appraisal and data extraction. Studies will be pooled in a meta-analysis whenever possible. The χ 2 test and I 2 statistics will be the standard tools for assessing heterogeneity. Statistical analyses will be carried out using the random-effects model. The fixed-effects model will be applied if there is low heterogeneity between included studies ( I 2 < 50, or P ≥ 0.5). The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach will be used to grade the certainty of the evidence, and a Summary of Findings will be presented.
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