Effect of psychological intervention on postoperative outcomes of adolescent patients undergoing scoliosis correction: a Meta-analysis
10.3760/cma.j.cn115682-20211219-05707
- VernacularTitle:心理干预对青少年脊柱侧凸矫形患者术后结果影响的Meta分析
- Author:
Yaqi CHEN
1
;
Tong HAN
;
Yingli WANG
;
Huizhen WANG
Author Information
1. 中国医学科学院北京协和医院手术室，北京 100730
- Keywords:
Adolescents;
Idiopathic scoliosis;
Psychological intervention;
Anxiety;
Depression;
Postoperative pain;
Meta-analysis
- From:
Chinese Journal of Modern Nursing
2022;28(31):4317-4323
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of psychological intervention on postoperative outcomes of adolescent idiopathic scoliosis (AIS) patients undergoing correction.Methods:A computer-based online search of PubMed, Embase, Cochrane Library, Web of Science, CINAHL, MEDLINE, PsycINFO, PQDT, China National Knowledge Infrastructure (CNKI) , Wanfang Database, VIP Chinese Journal Database, China Biology Medicine disc, controlled-trials and chictr clinical controlled trial databases from establishment to July 25, 2021 was performed for randomized controlled trials (RCTs) on the effect of psychological intervention on adolescent AIS patients undergoing correction surgery. RevMan 5.3 statistical software was used for meta-analysis.Results:Finally, 10 articles were included, with a total of 621 patients. Meta-analysis showed that psychological intervention could reduce postoperative pain ( SMD=-0.62, 95% CI: -1.15- -0.08, P=0.02) and reduce postoperative anxiety ( SMD=-0.54, 95% CI: -1.03- -0.06, P=0.03) , descriptive analysis showed that cognitive behavioral therapy could improve postoperative quality of life and mobility. Conclusions:Psychological intervention can reduce the pain and anxiety level of patients with scoliosis after surgery, improve the quality of life after surgery and improve the activity ability. However, due to the small number of studies and high heterogeneity of results, higher quality and large sample studies are needed to further validate the intervention effect and provide guidance for clinical practice.
