中华护理教育 ›› 2023, Vol. 20 ›› Issue (7): 795-802.doi: 10.3761/j.issn.1672-9234.2023.07.005
收稿日期:
2022-11-12
出版日期:
2023-07-15
发布日期:
2023-07-14
通讯作者:
成巧梅,硕士,主任护师,E-mail:sycqm2010@126.com
作者简介:
段秋改,女,本科,副主任护师,E-mail:dqg87160032@126.com
基金资助:
DUAN Qiugai(),ZHANG Hongmei,ZHANG Yu,CHENG Qiaomei()
Received:
2022-11-12
Online:
2023-07-15
Published:
2023-07-14
摘要:
目的 系统评价ICU护士创伤后应激障碍的检出率及影响因素。 方法 计算机检索PubMed、Cochrane Library、Embase、JAMA、CINAHL、PsycINFO、中国知网、万方和维普9个中英文数据库,纳入评价ICU护士创伤后应激障碍的检出率及影响因素的文献,检索时间为建库至2022年5月。由2名研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用Stata 14.0软件合并检出率,并对影响因素进行描述性分析。 结果 共纳入23篇文献,包括8 960名ICU护士,文献发表时间为2007年—2022年。Meta分析结果显示,ICU护士创伤后应激障碍检出率为31%(95%CI:0.24~0.38)。亚组分析显示,北美(0.38,95%CI:0.23~0.53)、采用事件影响量表-修订版为诊断工具(0.50,95%CI:0.31~0.69)、2021年—2022年统计(0.33,95%CI:0.23~0.44)的ICU护士创伤后应激障碍检出率更高。描述性分析显示,D型人格、身体健康状况、心理弹性和社会支持是ICU护士创伤后应激障碍发生的影响因素。 结论 ICU护士创伤后应激障碍检出率较高,D型人格、身体健康状况较差、心理弹性及社会支持水平较低等可增加ICU护士创伤后应激障碍患病的风险。
段秋改, 张红梅, 张雨, 成巧梅. 重症监护室护士创伤后应激障碍检出率及影响因素的系统评价[J]. 中华护理教育, 2023, 20(7): 795-802.
DUAN Qiugai, ZHANG Hongmei, ZHANG Yu, CHENG Qiaomei. Prevalence and influence factors of post-traumatic stress disorder among nurses in intensive care unit:a systematic review[J]. Chinese Journal of Nursing Education, 2023, 20(7): 795-802.
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