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哀伤聚焦干预对痴呆症照料者心理健康的影响:系统评价与荟萃分析

Effects of Grief Focused Intervention on the Mental Health of Dementia Caregivers: Systematic Review and Meta-Analysis.

作者信息

Byeon Haewon

机构信息

Department of Medical Big Data, College of AI Convergence, Inje University, Gimhae 50834, Gyeonsangnamdo, South Korea.

出版信息

Iran J Public Health. 2020 Dec;49(12):2275-2286. doi: 10.18502/ijph.v49i12.4808.

Abstract

BACKGROUND

The objectives of this study were to review systematically the effects of grief-focused interventions, applied to dementia caregivers, on emotional burden including sadness and to provide baseline information for dementia caregivers to maintain mental health by identifying the effect size of intervention using a meta-analysis.

METHODS

We evaluated literature published from Jan 1, 2000, to Jun 28, 2019. Consequently, we selected five studies to conduct a systematic review. The Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a Variety of Fields was used for conducting a quality assessment on the selected literature.

RESULTS

The results of the quality assessment showed that the score ranged from 11 to 24 points: one strong, one good, two adequate, and one limited. When the meta-mean was compared before and after grief intervention, the effect size of the random-effect model was 0.31 (95% CI: -0.07, 0.69) showed 'intermediate effect', but the confidence interval was not significant.

CONCLUSION

The grief intervention for dementia caregivers revealed a moderate effect but it was not significant. In order to prove the effectiveness of grief intervention for dementia caregivers, a meta-analysis targeting RCT studies is needed.

摘要

背景

本研究的目的是系统回顾针对痴呆症照料者的悲伤聚焦干预措施对包括悲伤在内的情感负担的影响,并通过荟萃分析确定干预效果大小,为痴呆症照料者维持心理健康提供基线信息。

方法

我们评估了2000年1月1日至2019年6月28日发表的文献。因此,我们选择了五项研究进行系统回顾。使用《评估各领域初级研究论文的标准质量评估标准》对所选文献进行质量评估。

结果

质量评估结果显示,得分在11至24分之间:一项为强,一项为好,两项为中等,一项为有限。比较悲伤干预前后的荟萃均值时,随机效应模型的效应大小为0.31(95%CI:-0.07,0.69),显示为“中等效应”,但置信区间不显著。

结论

对痴呆症照料者的悲伤干预显示出中等效果,但不显著。为了证明悲伤干预对痴呆症照料者的有效性,需要针对随机对照试验研究进行荟萃分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd12/8215047/1d81d3bce8e6/IJPH-49-2275-g001.jpg

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