Yakimicki Michelle L, Edwards Nancy E, Richards Elizabeth, Beck Alan M
1 Purdue University, West Lafayette, IN, USA.
Clin Nurs Res. 2019 Jan;28(1):9-29. doi: 10.1177/1054773818756987. Epub 2018 Feb 14.
This review discusses the relationship between animal-assisted interventions (AAI) and behavioral and psychological symptoms of dementia (BPSD). A systematic search was conducted within CINAHL, Web of Science CAB Abstracts, PubMed, Abstracts in Social Gerontology, Google Scholar, and PsycINFO for primary research articles. A total of 32 studies were included in the final review. Variation was noted in study designs and in study setting. Twenty-seven of 32 studies used dogs as the intervention. Agitation/aggression showed a significant decrease in nine of 15 studies. Eleven of 12 studies demonstrated increased social interaction with AAI. Mood had mixed results in nine studies. Quality of life was increased in three of four studies. Resident activity and nutritional intake were each increased in two studies. Animal assisted activities/interventions showed a strong positive effect on social behaviors, physical activity, and dietary intake in dementia patients and a positive effect on agitation/aggression and quality of life.
本综述探讨了动物辅助干预（AAI）与痴呆症行为和心理症状（BPSD）之间的关系。我们在护理学与健康领域数据库（CINAHL）、科学网CAB文摘数据库、PubMed、社会老年学文摘数据库、谷歌学术和心理学文摘数据库（PsycINFO）中进行了系统检索，以查找相关的初级研究文章。最终综述共纳入32项研究。研究设计和研究环境存在差异。32项研究中有27项使用狗作为干预手段。在15项研究中，有9项显示激越/攻击行为显著减少。12项研究中有11项表明动物辅助干预增加了社交互动。9项研究中情绪方面的结果不一。4项研究中有3项显示生活质量有所提高。2项研究分别表明居民活动和营养摄入有所增加。动物辅助活动/干预对痴呆症患者的社交行为、身体活动和饮食摄入有很强的积极影响，对激越/攻击行为和生活质量也有积极影响。
