School of Nursing, Peking University, Beijing, China.
Peking University Health Science Centre for Evidence-Based Nursing, A Joanna Briggs Institute Affiliated Group, Beijing, China.
J Clin Nurs. 2022 Jul;31(13-14):1983-1997. doi: 10.1111/jocn.15204. Epub 2020 Feb 20.
To evaluate the effectiveness of horticultural therapy on cognitive function, agitation, positive emotion and engagement in people with dementia.
The number of people with dementia is increasing rapidly, and nonpharmacological interventions such as horticultural therapy have been recommended as the first choice for these patients. Horticultural therapy involves participatory and ornamental horticultural therapy. Many original studies have examined the effectiveness of horticultural therapy in the last two decades. However, these studies vary in types of interventions, outcomes and measurement.
A quantitative systematic review and meta-analysis.
This systematic review was conducted under PRISMA guidelines. Randomised controlled trials (RCTs) and quasi-experimental studies involving horticultural therapy for people with dementia were included. Risk of bias was assessed by the Cochrane's and Joanna Briggs Institute's tool. Reference lists and a relevant journal were searched. Meta-analyses were conducted using RevMan 5.3. PubMed, CINAHL, Embase, BIOSIS Previews, Web of Science Core Collection, China National Knowledge Infrastructure, Wanfang, SinoMed, Cochrane Library and ProQuest Health & Medical Complete were searched. Studies from database inception to 1 July 2019 were included.
This systematic review included 14 studies (4 RCTs and 10 quasi-experimental studies) involving 411 people with dementia. The results of meta-analyses indicated that significant differences were found in the effectiveness of participatory horticultural therapy on total score of cognitive function, agitation, positive emotion and engagement, but not in the effectiveness of ornamental horticultural activities on agitation and positive emotion.
The existing evidence supports the effectiveness of participatory horticultural therapy on cognitive function, agitation, positive emotion and engagement. Future high-quality original studies are needed to draw more robust conclusions.
The results support the use of participatory horticultural therapy for improving cognitive function, agitation, positive emotion and engagement of people with dementia.
评估园艺疗法对痴呆症患者认知功能、激越、积极情绪和参与度的有效性。
痴呆症患者人数迅速增加，非药物干预措施，如园艺疗法，已被推荐为这些患者的首选治疗方法。园艺疗法包括参与式和观赏性园艺疗法。许多原始研究在过去二十年中研究了园艺疗法的有效性。然而，这些研究在干预类型、结果和测量方面存在差异。
定量系统评价和荟萃分析。
本系统评价按照 PRISMA 指南进行。纳入了涉及园艺疗法治疗痴呆症患者的随机对照试验 (RCT) 和准实验研究。使用 Cochrane 和 Joanna Briggs 研究所的工具评估偏倚风险。检索了参考文献列表和相关期刊。使用 RevMan 5.3 进行荟萃分析。检索了 PubMed、CINAHL、Embase、BIOSIS Previews、Web of Science Core Collection、中国国家知识基础设施、万方、中国生物医学文献服务系统、Cochrane 图书馆和 ProQuest Health & Medical Complete。纳入了从数据库成立到 2019 年 7 月 1 日的研究。
本系统评价纳入了 14 项研究（4 项 RCT 和 10 项准实验研究），涉及 411 名痴呆症患者。荟萃分析结果表明，参与式园艺疗法在认知功能、激越、积极情绪和参与度总分方面的效果存在显著差异，但观赏性园艺活动在激越和积极情绪方面的效果没有显著差异。
现有证据支持参与式园艺疗法对痴呆症患者认知功能、激越、积极情绪和参与度的有效性。需要未来开展高质量的原始研究，以得出更有力的结论。
研究结果支持使用参与式园艺疗法改善痴呆症患者的认知功能、激越、积极情绪和参与度。
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