das Nair Roshan, Martin Kristy-Jane, Sinclair Emma J
a Division of Rehabilitation & Ageing , University of Nottingham , UK.
Neuropsychol Rehabil. 2015;25(4):479-502. doi: 10.1080/09602011.2014.971820. Epub 2014 Nov 4.
The effectiveness of memory rehabilitation based on randomised controlled trials and meta-analyses has been inconclusive, but patient reports based on qualitative studies have been largely positive. We conducted a meta-synthesis of qualitative studies of group-based memory rehabilitation programmes for people with neurological conditions. Based on systematic searches of electronic databases and reference lists, five papers (87 participants) were selected. Quality appraisal of papers was conducted by two independent reviewers using the Critical Appraisal Skills Programme tool. Data synthesis was guided by the meta-ethnography approach. Five higher order themes were elicited. These suggested that memory rehabilitation was associated with insight and acceptance of participants' neurological condition and resultant cognitive deficits. The therapeutic effects of the groups, with social support and leisure activities, helped with participants' confidence. There were improvements in memory related to better self-awareness and learning to use new skills and strategies to compensate for memory deficits. These improvements also related to other psychological effects, in terms of positively affected mood, confidence and fatigue. Ultimately, these changes had a positive impact on daily life, with changes seen in the personal, inter-personal and professional spheres. Therefore, this synthesis of qualitative studies suggests that memory rehabilitation offers positive outcomes for people with long-term neurological conditions.
基于随机对照试验和荟萃分析，记忆康复的有效性尚无定论，但基于定性研究的患者报告大多呈积极态度。我们对针对神经系统疾病患者的基于小组的记忆康复计划的定性研究进行了元综合分析。通过对电子数据库和参考文献列表的系统检索，选取了五篇论文（87名参与者）。由两名独立评审员使用批判性评估技能计划工具对论文进行质量评估。数据综合以元民族志方法为指导。得出了五个高阶主题。这些主题表明，记忆康复与参与者对自身神经系统疾病及由此产生的认知缺陷的洞察和接受有关。小组的治疗效果，加上社会支持和休闲活动，有助于增强参与者的信心。与更好的自我意识以及学习使用新技能和策略来弥补记忆缺陷相关的记忆有改善。这些改善还与其他心理效应有关，在积极影响情绪、信心和疲劳方面。最终，这些变化对日常生活产生了积极影响，在个人、人际和职业领域都有体现。因此，这项定性研究的综合分析表明，记忆康复为患有长期神经系统疾病的人带来了积极的结果。
