Effectiveness of psychological interventions to improve quality of life in people with long-term conditions: rapid systematic review of randomised controlled trials.
Effectiveness of psychological interventions to improve quality of life in people with long-term conditions: rapid systematic review of randomised controlled trials.
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DOI：
10.1186/s40359-018-0225-4
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发表时间：
2018-03-27
期刊：
影响因子：
3.6
通讯作者：
Ozakinci G
中科院分区：
文献类型：
--
作者：
Anderson N;Ozakinci G
长期疾病可能会对生活质量的多个方面产生负面影响，包括身体功能和心理健康。这项快速系统性综述旨在检查心理干预对改善长期疾病患者生活质量的有效性，为未来的医疗保健提供信息。使用EBSCOhost和奥维德检索4个数据库（PsychInfo、PBSC、Medline和Embase）。由一名研究人员使用基于标题、摘要和全文的预定义纳入/排除标准系统地提取相关论文。包括2006年至2016年2月期间进行的随机对照试验心理干预，以直接针对和评估患有长期疾病的人，以改善生活质量。排除了没有长期疾病人群、心理干预和/或患者评估的生活质量的干预。在识别的2223篇引文中，6篇符合纳入/排除标准。所有6项研究均在干预后立即显著改善了至少一项生活质量结局。在短期（0 - 3个月）、中期（3 - 12个月）和长期（≥ 12个月）研究持续时间类别的2项研究中，各有1项研究在12个月随访时维持了显著的生活质量改善。所有6项心理干预研究在干预后立即显著改善了至少一项生活质量结果，其中3项研究在干预后12个月内保持效果。未来的研究应寻求评估定制的心理干预的有效性，使用不同的格式，持续时间和调解人，以补充医疗保健的提供和实践。
Long-term conditions may negatively impact multiple aspects of quality of life including physical functioning and mental wellbeing. The rapid systematic review aimed to examine the effectiveness of psychological interventions to improve quality of life in people with long-term conditions to inform future healthcare provision and research. EBSCOhost and OVID were used to search four databases (PsychInfo, PBSC, Medline and Embase). Relevant papers were systematically extracted by one researcher using the predefined inclusion/exclusion criteria based on titles, abstracts, and full texts. Randomized controlled trial psychological interventions conducted between 2006 and February 2016 to directly target and assess people with long-term conditions in order to improve quality of life were included. Interventions without long-term condition populations, psychological intervention and/or patient-assessed quality of life were excluded. From 2223 citations identified, 6 satisfied the inclusion/exclusion criteria. All 6 studies significantly improved at least one quality of life outcome immediately post-intervention. Significant quality of life improvements were maintained at 12-months follow-up in one out of two studies for each of the short- (0–3 months), medium- (3–12 months), and long-term (≥ 12 months) study duration categories. All 6 psychological intervention studies significantly improved at least one quality of life outcome immediately post-intervention, with three out of six studies maintaining effects up to 12-months post-intervention. Future studies should seek to assess the efficacy of tailored psychological interventions using different formats, durations and facilitators to supplement healthcare provision and practice.