关键词: chronic disease clinical trial death anxiety meta-analysis systematic review

来  源:   DOI:10.1177/00302228231167725

Abstract:
This systematic review and meta-analysis aimed to synthesize the outcomes of various interventions to alleviate death anxiety and fear. Studies published between January 2010 and June 2022 were searched in the ScienceDirect, Scopus, Web of Science, PubMed, Cochrane Library, and CHINAL databases. The Preferred Reporting Items for Systematic Reviews and Meta-analyses statement guidelines were used in this meta-analysis. The results were examined using 95% confidence intervals, p-values, and fixed- or random-effects models based on the heterogeneity test. Sixteen studies involving 1262 participants were included in this systematic review. Interventions in seven studies using the Templer Death Anxiety Scale (TDAS) significantly decreased death anxiety levels in the intervention groups compared to the control groups (z = -4.47; p < 0.001; 95% CI: -3.36 to -1.31). This meta-analysis provides insights into implementing logotherapy, cognitive behavioral therapy, spirituality-based care, and educational interventions for death anxiety and the fear experienced by patients with chronic diseases.
摘要:
本系统综述和荟萃分析旨在综合各种干预措施的结果,以减轻死亡焦虑和恐惧。在2010年1月至2022年6月之间发表的研究在ScienceDirect中进行了搜索,Scopus,WebofScience,PubMed,科克伦图书馆,中国数据库。本荟萃分析使用系统评价和荟萃分析陈述指南的首选报告项目。使用95%置信区间检查结果,p值,基于异质性检验的固定效应或随机效应模型。本系统综述包括16项研究,涉及1262名参与者。与对照组相比,使用Templer死亡焦虑量表(TDAS)的7项研究中的干预措施显着降低了干预组的死亡焦虑水平(z=-4.47;p<0.001;95%CI:-3.36至-1.31)。这项荟萃分析提供了实施逻辑疗法的见解,认知行为疗法,基于灵性的护理,以及对慢性病患者所经历的死亡焦虑和恐惧的教育干预。
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