發(fā)布時間：2018-04-21 21:16

  本文選題：焦慮癥 + 心理治療��； 參考：《中國老年學(xué)雜志》2014年16期

【摘要】：目的系統(tǒng)評價中國老年人群焦慮癥合并基礎(chǔ)性疾病的研究現(xiàn)狀。方法檢索CBM、CNKI和VIP中文數(shù)據(jù)庫,由2名研究者獨(dú)立篩選文獻(xiàn),納入明確提及老年人、焦慮及基礎(chǔ)性疾病的橫斷面研究、隊列研究,排除海外老年人群研究。依據(jù)評價標(biāo)準(zhǔn)(Oxford CASP,2004)評價納入的隨機(jī)對照研究質(zhì)量。結(jié)果初檢到1 927篇文獻(xiàn),最終納入132篇。1研究類型方面,56篇(42.42%)文獻(xiàn)為無對照橫斷面研究;76篇(57.57%)研究設(shè)有對照,其中69篇(52.27%)為病例研究,7篇(5.30%)為隨機(jī)對照研究。227篇研究提示患有基礎(chǔ)性疾病患者的焦慮發(fā)生率高于無基礎(chǔ)性疾病者,基礎(chǔ)性疾病同焦慮癥互為危險因素。359篇(44.70%)研究表明心理干預(yù)對患有基礎(chǔ)性疾病的老年焦慮抑郁癥有很好的治療和緩解效果。結(jié)論老年人基礎(chǔ)性疾病合并焦慮癥的研究文獻(xiàn)多為病例對照研究,RCT研究較少。綜合干預(yù)可以顯著減輕老年患者的焦慮程度,因此在進(jìn)行基礎(chǔ)疾病治療的同時應(yīng)注重心理護(hù)理和抗焦慮治療的綜合質(zhì)量模式。
[Abstract]:Objective to systematically evaluate the current status of research on anxiety disorders associated with basic diseases in Chinese elderly people. Methods the Chinese database of CBM, CNKI and VIP was retrieved by 2 researchers. The cross-sectional study of elderly people, anxiety and basic diseases, cohort study, and the study of the elderly were excluded. The standard of evaluation was based on the evaluation criteria (Oxford CASP, 2004) evaluation of the quality of the randomized controlled study included. The results were first examined in 1927 articles, and finally included in 132.1 research types, 56 (42.42%) literature was no cross sectional study, 76 (57.57%) had a control, 69 (52.27%) was a case study, 7 (5.30%) was a randomized controlled study of.227. The incidence of anxiety in patients with sexual diseases is higher than that of non basic diseases, and the risk factors of mutual anxiety and basic disease are.359 (44.70%). The study shows that psychological intervention has good treatment and relieving effect on elderly anxiety and depression with basic diseases. Conclusion most of the literature of basic diseases combined with anxiety in the elderly is a case of cases. In the control study, RCT studies are less. Comprehensive intervention can significantly reduce the degree of anxiety in elderly patients. Therefore, the comprehensive quality model of psychological care and anti anxiety therapy should be paid attention to in the treatment of basic diseases.

【作者單位】： 蘭州大學(xué)第二臨床醫(yī)院;蘭州大學(xué)循證醫(yī)學(xué)中心;
【基金】：蘭州大學(xué)“中央高�；究蒲袠I(yè)務(wù)費(fèi)專項資金”(lzujbky2012-152)
【分類號】：R749.7
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本文編號：1784127