Resilience of Patients With Chronic Physical Diseases: A Systematic Review and Meta-Analysis
Resilience of Patients With Chronic Physical Diseases: A Systematic Review and Meta-Analysis
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DOI：
10.5812/ircmj.38562
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发表时间：
2016-07-01
影响因子：
0.4
通讯作者：
Tabrizi, Kian Nourozi
中科院分区：
文献类型：
--
作者：
Gheshlagh, Reza Ghanei;Sayehmiri, Kourosh;Tabrizi, Kian Nourozi
背景：恢复力可以被视为对压力的适应，例如由健康问题或疾病造成的压力，以减轻压力的负面影响。本研究对被诊断为慢性身体疾病的成年人的复原力得分进行了系统的回顾和荟萃分析。证据获取：搜索电子数据库，包括波斯语(科学信息数据库[SID]、伊朗Medex、Magiran、伊朗医生和Medlib)和英语(Google Scholar、Science Direct、PubMed、Pre-Quest和Scope)。使用波斯语和英语的关键词疾病或慢性疾病、恢复力或恢复力以及疾病，单独或组合检索到15篇文章。数据分析采用Meta分析(随机效应模型)，异质性采用子组分析和Meta回归分析。结果：慢性病患者的心理弹性平均得分为74.6(95%CI：51.8~97.4)。在疾病方面，癌症患者的平均复原力得分为79.6(95%CI：48.3~111.1)，心血管疾病患者的平均弹性得分为79.6(95%CI：45.8~113.3)，其他疾病患者的平均弹性得分为64.6(95%CI：6.6~122.7)。慢性病患者的复原力与研究年份(P=0.711)和样本大小(P=0.351)无关。结论：慢性病患者的复原力得分低于健康人。由于复原力可以在人生的任何阶段获得，无论年龄和疾病状况如何，因此需要通过教育计划进行培训，以提高患者的复原力。
Context: Resilience can be seen as an adaption to stress, such as that caused by health problems or disease, that attenuates the negative effects of stress. The present research performed a systematic review and meta-analysis to study resilience scores among adults diagnosed with chronic physical diseases.Evidence Acquisition: Electronic databases, including Persian language (scientific information database [SID], IranMedex, Magiran, IranDoc, and Medlib) and English language (Google Scholar, Science Direct, PubMed, Pre-Quest, and Scopus), were searched. Fifteen articles were found using the keywords disease or chronic disease, resilience or resiliency, and illness, either alone or in combination, both in Persian and English languages. Data analysis was carried out through meta-analysis (random-effects model), and heterogeneity was investigated by subgroup and meta-regression analyses. The data were analyzed in STAT software (12.0).Results: The mean resilience score of the chronic disease patients (n = 3369) was 74.6 (95% CI: 51.8-97.4). In terms of diseases, the mean resilience score of cancer patients was 79.6 (95% CI: 48.3-111.1), whereas it was 79.6 for cardiovascular disease patients (95% CI: 45.8-113.3) and 64.6 for patients with other diseases (95% CI: 6.6-122.7). There was no relationship between the resilience of chronic disease patients and the year of the study (P = 0.711) and the sample size in the studies (P = 0.351).Conclusions: The mean resilience score of the patients was less than that of healthy individuals. As resilience can be acquired at any stage of life, irrespective of age and disease status, there is a need for training to improve resilience among patients through educational programs.