焦虑和抑郁是被诊断患有癌症的人的常见合并症。然而,尽管在治疗选择和结果方面取得了进展,癌症患者的精神保健和支持落后。估计癌症患者中心理健康障碍的程度和决定因素对于提醒有关机构采取行动至关重要。鉴于此,我们旨在确定埃塞俄比亚癌症患者中焦虑和抑郁的合并患病率和决定因素.
■在PubMed上搜索了相关文献,非洲在线期刊,Hinari,认识论,Scopus,EMBASE,CINAHL,科克伦图书馆,和灰色文献来源。将数据提取到Excel电子表格中,并使用STATA17统计软件进行分析。随机效应模型用于总结合并效应大小及其各自的95%置信区间。采用I2统计量和Egger回归检验结合漏斗图分别评估纳入研究的异质性和发表偏倚。
■本综述考虑了总共17项研究,其中5,592名参与者。埃塞俄比亚癌症患者焦虑和抑郁的合并患病率分别为45.10%(95%CI:36.74,53.45)和42.96%(95%CI:34.98,50.93),分别。初等及以上学历(OR=0.76,95%CI:0.60,0.97),社会支持差(OR=2.27,95%CI:1.29,3.98),职业状况(OR=0.59;95%CI:0.43,0.82),晚期癌症分期(OR=2.19,95%CI:1.38,3.47),合并症(OR=1.67;95%CI:1.09,2.58)和睡眠质量差(OR=11.34,95%CI:6.47,19.89)与抑郁症显著相关。然而,晚期癌症分期(OR=1.59,95%CI:1.15,2.20)和睡眠质量差(OR=12.56,95%CI:6.41,24.62)是焦虑的相关因素。
■这项荟萃分析表明,在埃塞俄比亚,相当比例的癌症患者患有焦虑和抑郁。教育状况,职业状况,社会支持,癌症阶段,合并症和睡眠质量与抑郁症显著相关。然而,焦虑是通过癌症分期和睡眠质量来预测的。因此,作为慢性癌症护理的组成部分,提供全面的心理健康支持对于减轻癌症患者焦虑和抑郁的影响和发生至关重要。此外,家庭和社区应加强对癌症患者的社会支持。
■https://www.crd.约克。AC.英国/普华永道/,标识符CRD42023468621。
UNASSIGNED: Anxiety and depression are among the common comorbidities of people diagnosed with cancer. However, despite the progress in therapeutic options and outcomes, mental health care and support have lagged behind for cancer patients. Estimating the extent and determinants of mental health disorders among cancer patients is crucial to alert concerned bodies for action. In view of this, we aimed to determine the pooled prevalence and determinants of anxiety and depression among cancer patients in Ethiopia.
UNASSIGNED: Relevant literatures were searched on PubMed, African Journals Online, Hinari, Epistemonikos, Scopus, EMBASE, CINAHL, Cochrane Library, and Gray literature sources. Data were extracted into an Excel spreadsheet and analyzed using STATA 17 statistical software. The random effect model was used to summarize the pooled effect sizes with their respective 95% confidence intervals. The I2 statistics and Egger\'s regression test in conjunction with the funnel plot were utilized to evaluate heterogeneity and publication bias among included studies respectively.
UNASSIGNED: A total of 17 studies with 5,592 participants were considered in this
review. The pooled prevalence of anxiety and depression among cancer patients in Ethiopia were 45.10% (95% CI: 36.74, 53.45) and 42.96% (95% CI: 34.98, 50.93), respectively. Primary and above education (OR= 0.76, 95% CI: 0.60, 0.97), poor social support (OR= 2.27, 95% CI: 1.29, 3.98), occupational status (OR= 0.59; 95% CI: 0.43, 0.82), advanced cancer stage (OR= 2.19, 95% CI: 1.38, 3.47), comorbid illness (OR= 1.67; 95% CI: 1.09, 2.58) and poor sleep quality (OR= 11.34, 95% CI: 6.47, 19.89) were significantly associated with depression. Whereas, advanced cancer stage (OR= 1.59, 95% CI: 1.15, 2.20) and poor sleep quality (OR= 12.56, 95% CI: 6.4 1, 24.62) were the factors associated with anxiety.
UNASSIGNED: This meta-analysis indicated that a substantial proportion of cancer patients suffer from anxiety and depression in Ethiopia. Educational status, occupational status, social support, cancer stage, comorbid illness and sleep quality were significantly associated with depression. Whereas, anxiety was predicted by cancer stage and sleep quality. Thus, the provision of comprehensive mental health support as a constituent of chronic cancer care is crucial to mitigate the impact and occurrence of anxiety and depression among cancer patients. Besides, families and the community should strengthen social support for cancer patients.
UNASSIGNED: https://www.crd.york.ac.uk/prospero/, identifier CRD42023468621.