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目的系统研究中国大陆地区急性心肌梗死(AMI)后患者抑郁的患病率,为AMI患者的临床护理工作提供指导。方法计算机检索Pub Med、The Cochrane Library(2016年6期)、CNKI、CBM、万方数据库及维普数据库,搜集关于中国AMI后患者抑郁患病率的横断面研究,检索时限从2000年1月至2016年6月。由2位评价员独立筛选文献、提取资料并评价纳入研究的方法学质量后,釆用CMA 2.0软件进行Meta分析。结果共纳入22个横断面研究,AMI病例数为2 986例,发生AMI后抑郁的患者1 239例。Meta分析结果显示,中国大陆地区AMI后患者抑郁的总患病率为42.7%[95%CI(36.3%,49.4%)];其中不同的性别、地区、抑郁量表类型和发表年份的AMI后患者抑郁的患病率差异无统计学意义(P>0.05)。结论中国地区的AMI患者患病后抑郁的患病率较高,并且患病率大致呈逐年上升趋势,对于这一现状应引起更多的关注。
Objective To systematically study the prevalence of depression in patients with acute myocardial infarction (AMI) in mainland China and provide guidance for the clinical nursing of patients with AMI. METHODS: A cross-sectional study on the prevalence of depression in Chinese patients with AMI was collected by computer retrieval from Pub Med, The Cochrane Library (2016 6), CNKI, CBM, Wanfang database and VIP database. The search time was from January 2000 to June 2016. After two independent reviewers screened the literature, extracted data and evaluated the quality of the methodology included in the study, CMA 2.0 software was used for meta-analysis. Results A total of 22 cross-sectional studies were included, with 2 986 AMI cases and 1 239 cases of depression after AMI. Meta-analysis showed that the overall prevalence of depression among patients with AMI in Mainland China was 42.7% [95% CI (36.3%, 49.4%]]; among them, gender, region, type of depression scale and post-AMI The prevalence of depression in patients with no significant difference (P> 0.05). Conclusion The prevalence of depression in AMI patients in China is high, and the prevalence is generally increasing year by year, which should pay more attention to this situation.