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认知康复:基于证据水平的文献综述。

Cognitive rehabilitation: Literature review based on levels of evidence.

作者信息

Manzine Patricia Regina, Pavarini Sofia Cristina Iost

机构信息

Student in Nursing of the Federal University of São Carlos, São Paulo, SP, Brazil. FAPESP Grantholder.

Nurse, Associate Professor of the Department of Nursing and Post-graduate Program in Nursing of the Federal University of São Carlos, São Paulo, SP, Brazil. Coordinator of the Graduate Course in Gerontology.

出版信息

Dement Neuropsychol. 2009 Jul-Sep;3(3):248-255. doi: 10.1590/S1980-57642009DN30300012.

DOI:10.1590/S1980-57642009DN30300012
PMID:29213636
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5618981/
Abstract

The aim of this study was to review the scientific publications on cognitive rehabilitation in Alzheimer's disease by year published and methodology employed. The principles of systematic review by the Brazilian Cochrane Center were used. Reviews conducted by this Center were identified together with those held on the LILACS and Medline scientific databases. Nine levels of evidence were considered for analysis and a total of 37 articles were found. The results showed a growing number of publications from 2001 onwards, with majority being published early this decade. Few studies have been published on cognitive rehabilitation, with an average of three articles published per year during the study period (1985-2008). The highest levels of evidence were observed in the more recently published studies. Cognitive rehabilitation can yield greater benefits in rehabilitating patients when associated with other forms of intervention. The latest studies demonstrating greater scientific evidence concluded that results remain limited and that further studies on the topic are needed.

摘要

本研究旨在按发表年份和所采用的方法,回顾关于阿尔茨海默病认知康复的科学出版物。采用了巴西考科蓝中心的系统评价原则。该中心进行的综述以及在LILACS和Medline科学数据库上进行的综述均被纳入。分析时考虑了九个证据级别,共找到37篇文章。结果显示,从2001年起出版物数量不断增加,大部分在本十年初发表。关于认知康复的研究较少,在研究期间(1985 - 2008年)平均每年发表三篇文章。在最近发表的研究中观察到最高级别的证据。认知康复与其他形式的干预相结合时,在康复患者方面可产生更大益处。最新的研究表明有更多科学证据,但结论仍有限,该主题还需要进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3f2/5618981/c3a26eb14bf5/dn-03-03-0248-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3f2/5618981/b8cc9704d30f/dn-03-03-0248-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3f2/5618981/c3a26eb14bf5/dn-03-03-0248-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3f2/5618981/b8cc9704d30f/dn-03-03-0248-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3f2/5618981/c3a26eb14bf5/dn-03-03-0248-g02.jpg

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本文引用的文献

1
Diagnosis and treatment of dementia: 4. Approach to management of mild to moderate dementia.痴呆症的诊断与治疗:4. 轻度至中度痴呆症的管理方法
CMAJ. 2008 Oct 7;179(8):787-93. doi: 10.1503/cmaj.070803.
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Cognitive stimulation therapy for Alzheimer's disease: the effect of cognitive stimulation therapy on the progression of mild Alzheimer's disease in patients treated with donepezil.阿尔茨海默病的认知刺激疗法:认知刺激疗法对接受多奈哌齐治疗的轻度阿尔茨海默病患者病情进展的影响
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Cognitive training in Alzheimer's disease: a meta-analysis of the literature.阿尔茨海默病的认知训练:文献的荟萃分析
Acta Psychiatr Scand. 2006 Aug;114(2):75-90. doi: 10.1111/j.1600-0447.2006.00789.x.
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Cognitive stimulation therapy for people with dementia: cost-effectiveness analysis.针对痴呆症患者的认知刺激疗法:成本效益分析。
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[Treatment of Alzheimer's disease: recommendations and suggestions of the Scientific Department of Cognitive Neurology and Aging of the Brazilian Academy of Neurology].[阿尔茨海默病的治疗:巴西神经病学学会认知神经病学与衰老科学部的建议]
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