Meta-analysis of effects of pulmonary rehabilitation on anxiety and depression in patients with chronic obstructive pulmonary disease
10.3760/cma.j.cn115682-20200920-05443
- VernacularTitle:肺康复对COPD患者焦虑和抑郁情绪影响的Meta分析
- Author:
Yaru WANG
1
;
Wenjuan LI
;
Guandong WANG
;
Shaoshuai CUI
;
Yan LI
;
Fang XI
;
Haibo WANG
Author Information
1. 河南省人民医院（郑州大学人民医院）呼吸与危重症医学科，郑州 450003
- Keywords:
Pulmonary disease, chronic obstructive;
Pulmonary rehabilitation;
Anxiety;
Depression;
Meta-analysis
- From:
Chinese Journal of Modern Nursing
2021;27(15):1986-1991
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effects of pulmonary rehabilitation on anxiety and depression in patients with chronic obstructive pulmonary disease (COPD) .Methods:The RCTs on application effects of pulmonary rehabilitation in COPD patients were searched in Cochrane Library, Medline, PsycINFO, PubMed, Web of Science, Embase, China Biology Medicine disc, CNKI, Wanfang Database and VIP Database from the establishment of those databases to August 1, 2020. Quality assessment and data extraction were performed for the included articles, and Meta-analysis was performed using Stata 14.0 and RevMan 5.3 software.Results:A total of 14 articles were included, including 1 106 patients. Meta-analysis results showed that pulmonary rehabilitation therapy was helpful to improve the symptoms of depression [ SMD= -0.79, 95% CI (-0.94--0.64) , P<0.01]and anxiety [ SMD=-0.61, 95% CI (-0.82--0.41) , P<0.01]in COPD patients. The results of subgroup analysis showed that the relief degree of depression and anxiety of patients in the intervention group was statistically significantly different from those of the control group ( P<0.01) when the intervention was longer than 3 months or less than or equal to 3 months. Conclusions:Pulmonary rehabilitation can improve the depression and anxiety of COPD patients, and the results of intervention for more than 3 months and less than or equal to 3 months are consistent. Combining the actual clinical situation, the shortest intervention time of 3 months can be used for intervention in order to obtain more ideal intervention effect.
