背景:心血管疾病(CVD)显著影响患者的生活,不仅影响他们的身体健康,也影响他们的精神福祉。虽然整体护理承认解决精神需求的重要性,在心血管疾病管理中整合护士主导的精神护理仍未得到充分研究。
目的:本系统综述旨在评估精神和心理干预在提高CVD患者生活质量和减少焦虑方面的有效性。
方法:遵循PRISMA指南,我们对多个数据库进行了全面搜索(PubMed,Scopus,EMBASE,CINAHL,科克伦图书馆,SID,马吉兰,和WebofScience)获取2013年至2023年间以英语和波斯语发表的相关文章。使用ROB2和ROBINS-I量表评估纳入的实验和准实验研究中的偏倚风险。
结果:最初的搜索产生了1416篇文章。在应用纳入和排除标准后,随着定性评估,共选择了15项研究,共1035名参与者进行审查。这些研究探讨了精神干预的影响(例如,健康心脏模型,以情感为导向的方法,通信与更高的权力,接受,和关系改善)对焦虑,压力,预期寿命,抑郁症,血液参数,精神体验,疼痛,和CVD患者的负面情绪。所有经过审查的研究都报告了精神干预的积极成果,证明了它们在减少焦虑方面的有效性,抑郁症,疼痛,压力,和负面情绪,同时也提高了生活质量和预期寿命。
结论:将精神护理纳入心血管疾病患者的常规护理是改善其整体幸福感的一种有希望的方法。这篇综述强调了精神干预在减少各种负面情绪和提高生活质量方面的有效性。
背景:PROSPERO(CRD42023448687)。
BACKGROUND: Cardiovascular disease (CVD) significantly impacts patients\' lives, affecting not only their physical health but also their spiritual well-being. While holistic care acknowledges the importance of addressing spiritual needs, the integration of nurse-led spiritual care within CVD management remains understudied.
OBJECTIVE: This systematic review aimed to evaluate the effectiveness of spiritual and psychological interventions in enhancing quality of life and reducing anxiety among CVD patients.
METHODS: Following the PRISMA guidelines, we conducted a comprehensive search across multiple databases (PubMed, Scopus, EMBASE, CINAHL, Cochrane Library, SID, Magiran, and Web of Science) for relevant articles published in English and Persian between 2013 and 2023. The risk of bias in included experimental and quasi-experimental studies was assessed using ROB 2 and ROBINS-I scales.
RESULTS: The initial search yielded 1416 articles. After applying inclusion and exclusion criteria, along with qualitative evaluation, 15 studies with a total of 1035 participants were selected for review. These studies explored the impact of spiritual interventions (e.g., healthy heart model, emotion-oriented approach, communication with a higher power, acceptance, and relationship improvement) on anxiety, stress, life expectancy, depression, blood parameters, spiritual experiences, pain, and negative emotions in CVD patients. All reviewed studies reported positive outcomes with spiritual interventions, demonstrating their effectiveness in reducing anxiety, depression, pain, stress, and negative emotions, while also improving quality of life and possibly life expectancy.
CONCLUSIONS: Integrating spiritual care into routine care for CVD patients presents a promising approach to improve their overall well-being. This review highlights the effectiveness of spiritual interventions in reducing various negative emotions and enhancing quality of life.
BACKGROUND: PROSPERO (CRD42023448687).