Effects of psychosocial intervention on post-traumatic growth and emotional state of trauma patients: a Meta-analysis
10.3760/cma.j.cn115682-20201228-06931
- VernacularTitle:心理社会干预对创伤者创伤后成长及情绪状态影响的Meta分析
- Author:
Yuyu CHEN
1
;
Annuo LIU
;
Lili YANG
;
Bingbing WU
;
Chengli YAN
Author Information
1. 安徽医科大学护理学院,合肥 230032
- Keywords:
Psychosocial intervention;
Trauma patients;
Post-traumatic growth;
Meta-analysis
- From:
Chinese Journal of Modern Nursing
2021;27(23):3097-3103
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the effect of psychosocial intervention on the post-traumatic growth (PTG) and emotional state of trauma patients.Methods:Randomized controlled trials (RCTs) on the effect of psychosocial intervention on PTG of trauma patients were searched in Cochrane Library, Web of Science, PubMed, China National Knowledge Infrastructure (CNKI) , China Biology Medicine Literature Service System (CBM) , VIP Database and Wanfang Data by computer. The search time limit was from the establishment of the database to August 2020. The Cochrane randomized controlled trial bias risk assessment tool was used for quality evaluation, and the data that met the quality standards were extracted and included in the final Meta-analysis.Results:A total of 11 RCTs were included, with 919 research subjects. Meta-analysis results showed that the group psychosocial intervention [ WMD=8.49, 95% CI (2.74, 14.25) , P<0.01] and individual psychological intervention [ WMD=6.78, 95% CI (2.13, 11.44) , P<0.01] could improve the PTG level of trauma patients. Psychosocial intervention could improve the emotional state of trauma patients, increase the level of optimism [ WMD=1.87, 95% CI (1.18, 2.56) , P<0.01], and reduce the level of depression [ SMD=-0.76, 95% CI (-1.03, -0.49) , P<0.01]. Subgroup analysis of different follow-up time found that when the follow-up time was <3 months, 3-6 months, >6 months, the PTG of trauma patients all had a tendency to increase, but the difference was statistically significant when the follow-up time was only within 3 months [ WMD=7.16, 95% CI (2.70, 11.62) , P=0.002]. Conclusions:Psychosocial intervention can improve the PTG and the emotional control ability of trauma patients, which is conducive to the physical and psychological recovery of trauma patients.