基于怀旧的干预对改善认知完整的老年人心理健康的效果：系统评价和荟萃分析。
The effectiveness of reminiscence-based intervention on improving psychological well-being in cognitively intact older adults: A systematic review and meta-analysis.
机构信息
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Department of Psychological Medicine, National University Health System, Singapore; Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Academic Development, Duke-NUS Medical School, Singapore.
出版信息
Int J Nurs Stud. 2021 Feb;114:103847. doi: 10.1016/j.ijnurstu.2020.103847. Epub 2020 Dec 6.
BACKGROUND
Aging is one of the most important public health issues. The World Health Organization (WHO) expects the number of older adults aged 65 and above to triple from 2010 to 2050. A major challenge would be to consider how functional ability and quality of life could be enhanced in older age. Reminiscence-based interventions are widely reported as having positive effects on psychological outcomes among older adults with dementia, but its effects on cognitively intact older adults have not been clearly evaluated.
OBJECTIVES
The aim of the current systematic review is to evaluate the existing evidence on the effects of reminiscence-based intervention on psychological outcomes in cognitively intact older adults.
REVIEW METHODS
Commonly used English databases, including CINAHL, EMBASE, MEDLINE and PsycINFO, were searched from inception till 31 Mar 2020. Studies were included if they examined the effects of reminiscence-based intervention on psychological outcomes among cognitively intact older adults aged 60 and above. Meta-analysis was conducted to synthesise the effects on different psychological outcomes.
RESULTS
Thirty-one studies involving 1,829 older adults were included. The pooled standardized mean difference for depressive symptoms and life satisfaction were -0.38 (95% CI: -0.69--0.07) and 0.33 (95% CI: 0.14-0.52) respectively. Positive effects were observed on self-esteem, psychological well-being and happiness, though meta-analysis could not be conducted.
CONCLUSION
Significant reduction of depressive symptoms and improvement of life satisfaction were revealed from the reminiscence-based intervention among cognitively intact older adults. In addition, reminiscence-based intervention has been effective in enhancing self-esteem, and promoting psychological well-being and happiness. Our results suggest that reminiscence-based intervention could be an effective solution to improve psychological well-being among cognitively intact older adults. Such non-pharmacological approach can be recommended for older adults at the community level.
背景
衰老 是最重要的公共卫生问题之一。世界卫生组织（WHO）预计，2010 年至 2050 年，65 岁及以上老年人的数量将增加两倍。一个主要的挑战是考虑如何在老年时增强功能能力和生活质量。基于回忆的干预措施被广泛报道对痴呆症老年患者的心理结果有积极影响，但对认知正常的老年人的影响尚未得到明确评估。
目的
本系统综述的目的是评估现有基于回忆的干预对认知正常的老年人心理结果的影响。
综述方法
从开始到 2020 年 3 月 31 日，检索了常用的英文数据库，包括 CINAHL、EMBASE、MEDLINE 和 PsycINFO。如果研究考察了基于回忆的干预对 60 岁及以上认知正常的老年人心理结果的影响，则纳入研究。对不同心理结果的效应进行了荟萃分析。
结果
纳入了 31 项研究，涉及 1829 名老年人。抑郁症状和生活满意度的标准化均数差值汇总为-0.38（95%CI：-0.69--0.07）和 0.33（95%CI：0.14-0.52）。基于回忆的干预对自尊、心理幸福感和幸福感有显著影响，但无法进行荟萃分析。
结论
认知正常的老年人中基于回忆的干预可显著减少抑郁症状和提高生活满意度。此外，基于回忆的干预在增强自尊、促进心理幸福感和幸福感方面是有效的。我们的结果表明，基于回忆的干预可以有效改善认知正常的老年人的心理健康。这种非药物方法可以推荐给社区层面的老年人。
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