| objective: With the transformation of medical model, the treatment of bronchial asthma should not only focus on the improvement of the elimination of patients with respiratory symptoms, lung function, should also pay attention to their mental and psychological problems to solve, the promotion of social support, the improvement of life quality. Collected nearly 25 years related literature at home and abroad, this study used Meta analysis method to compared the differences of conventional treatment of asthma and psychological intervention with only conventional treatment of asthma's in the clinical effectiveness of asthma, control level grading, pulmonary function,anxiety and depression, social support and quality of life and so on, in order to make sure the effective of psychological intervention on the treatment of asthma for the adult patients with asthma.method: We stricted screening of the retrieved literature on the basis of to the include,exclusion criteria.According to the research purpose,we extracted the data of literatures.On the basis of modified Jadad scale and the Cochrane hidden randomized evaluation standard to evaluate quality of literature, Rev Man 5.3 statistics software Meta analysis was carried out on the extracted data, and the research results of sensitivity analysis, the study of literature publication bias was analysised.Results:1,888 articles were retrieved.After selection,39 articles were retrieved.A total of 3,544 participants were identified in the 41 included strdies which covered 1,791 participants of experimental group and 1,753 participants of control group.Results from meta-analysis articles no publication bias and sensitivity analysis were statistically stable and relicable,as follows:1. The treatmental effect of psychological intervention combined with conventional treatment for asthma.Meta-analysis showed that after treatment, psychological intervention combined with conventional treatment has effected in the symtom more than that onventional treatment only.The diffierences have statistical significance(p<0.01).2. The level of asthma control of psychological intervention combined with conventional treatment for asthma.Meta-analysis showed tha psychological intervention combined with conventional treatment has effected in the level of asthma control more than that conventional treatment only.The diffierences have statistical significance(p<0.01).3. The lung function of psychological intervention combined with conventional treatment for asthma.Meta-analysis showed that after treatment, psychological intervention combined with conventional treatment has effected in the lung function more than that conventional treatment only.The diffierences have statistical significance(p<0.01).4. The score of anxiety and deprssion of psychological intervention combined with conventional treatment for asthma.Meta-analysis showed that after treatment, psychological intervention combined with conventional treatment has effected in the score of anxiety and deprssion more than that conventional treatment only.The diffierences have statistical significance(p<0.01).5. The social support degree of psychological intervention combined with conventional treatment for asthma.Meta-analysis showed that after treatment, psychological intervention combined with conventional treatment has effected in social support degree more than that conventional treatment only.The diffierences have statistical significance(p<0.01).6. The quality of life score of psychological intervention combined with conventional treatment for asthma.Meta-analysis showed that after treatment, psychological intervention combined with conventional treatment has effected in the quality of life score more than that conventional treatment only.The diffierences between the two groups have statistical significance(p<0.01).Conclusion: psychological intervention combined with conventional treatment for asthma improve treatmental efficiency,disease control level, lung function, social support, quality of life and relieve anxiety and depression.It is superior to the conventional simple asthma treatment. |
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