School of Nursing, Peking University, Beijing, China.
J Adv Nurs. 2017 Oct;73(10):2283-2295. doi: 10.1111/jan.13311. Epub 2017 May 19.
Many original studies have explored the effectiveness of massage and touch on behavioural and psychological symptoms of dementia. However, the study design, interventions, measurements and outcomes varied among studies.
To systematically evaluate the effectiveness of massage and touch on the behavioural and psychological symptoms of older people with dementia.
A quantitative systematic review and meta-analysis.
Cochrane Library, The Joanna Briggs Institute (JBI) Library, PubMed, CINAHL, ProQuest Health & Medical Complete, SinoMed, China National Knowledge Infrastructure (CNKI) and Wanfang were searched from the date the database established to January 2016.
Randomized, controlled trials or quasi-experimental studies, involving massage and touch intervention for older people with dementia were considered to be included. Risk of bias assessment was performed using the Cochrane Collaboration's tool and meta-analysis was performed using Revman 5.3.
A total of 11 studies, involving 526 older people were included. The results of the meta-analysis showed the total score of behavioural and psychological problems with older people with dementia and subgroup scores of physical aggressive behaviour, physical non-aggressive behaviour, verbal aggressive behaviour and verbal non-aggressive behaviour decreased significantly after receiving massage or touch, while the subgroups scores of anxiety, sadness and anger did not decreased significantly.
Due to relatively small sample size and low quality of the included studies in this review, it is difficult to draw a conclusion on the effect of massage and touch on behavioural and psychological syndrome of dementia or implications for practice.
许多原始研究探讨了按摩和抚触对痴呆患者行为和心理症状的影响。然而，研究设计、干预措施、测量方法和结果在不同的研究中存在差异。
系统评价按摩和抚触对老年痴呆症患者行为和心理症状的影响。
定量系统评价和荟萃分析。
Cochrane 图书馆、乔安娜·布里格斯研究所（JBI）图书馆、PubMed、CINAHL、ProQuest Health & Medical Complete、SinoMed、中国国家知识基础设施（CNKI）和万方，检索时间从数据库建立到 2016 年 1 月。
纳入了涉及按摩和抚触干预老年痴呆症患者的随机对照试验或准实验研究。使用 Cochrane 协作工具进行偏倚风险评估，使用 Revman 5.3 进行荟萃分析。
共纳入 11 项研究，涉及 526 名老年人。荟萃分析结果表明，接受按摩或抚触后，老年痴呆症患者的行为和心理问题总分以及身体攻击行为、身体非攻击行为、言语攻击行为和言语非攻击行为的亚组评分显著降低，而焦虑、悲伤和愤怒的亚组评分则没有显著降低。
由于本综述纳入的研究样本量较小且质量较低，因此很难得出关于按摩和抚触对痴呆症行为和心理综合征的影响或对实践的启示的结论。
