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怀旧疗法对痴呆症患者的影响:系统评价和荟萃分析。

Effects of reminiscence therapy in people with dementia: A systematic review and meta-analysis.

机构信息

College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.

School of Nursing, Sam Ratulangi University, Manado, Indonesia.

出版信息

J Psychiatr Ment Health Nurs. 2022 Dec;29(6):883-903. doi: 10.1111/jpm.12830. Epub 2022 Apr 17.

DOI:10.1111/jpm.12830
PMID:35348260
Abstract

WHAT IS KNOWN ABOUT ON THE SUBJECT?: Alternative option was developed to improve care due to the increasing costs of care cost and the number of people diagnosed with dementia. Reminiscence therapy is a commonly implemented alternative option used in long-term care facilities. Reminiscence therapy is designed for cognitive decline that is also known as life review. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Reminiscence therapy, known as psychosocial interventions in dementia care, can be used to assist people with dementia recollect prior events, activities, and experiences in order to improve their cognitive, mood, and overall well-being. Reminiscence therapy increased cognitive function and quality of life and reduced depressive and neuropsychiatric symptoms among people with dementia. Reminiscence therapy may be considered a useful non-pharmacological intervention for people with dementia living in nursing homes or other long-term care facilities. The development of a global standard protocol for the application of reminiscence therapy may be necessary for future randomized controlled trials (RCTs). ABSTRACT: Introduction Reminiscence therapy is an alternative to pharmaceutical intervention provided during long-term care, especially for individuals with dementia. However, the effects of reminiscence therapy in dementia care remain inconclusive. Aim The goal of this study is to examine the effects of reminiscence therapy implementation in people with dementia. Design Systematic literature review and meta-analysis were conducted in accordance with the PRISMA guidelines. Methods This study searched systematically using 6 databases. The eligibility criteria included patients with dementia, applied reminiscence therapy, randomized controlled trials or quasi-experimental studies, and published in the English language. The PEDro scale was used to assess the methodological quality of the included studies. The meta-analysis was performed using a random-effects model to calculate the pooled effects of reminiscence therapy. Stata 16.0 was used for statistical analysis. Result A total of 29 studies met the eligibility criteria, including 3102 participants. Overall, reminiscence therapy increased cognitive functions and quality of life and decreased depression and neuropsychiatric symptoms. Implication for Practice Reminiscence therapy may be considered a useful non-pharmacological intervention for people with dementia living in nursing homes or other long-term care facilities. A standard protocol for reminiscence therapy may be necessary for future studies.

摘要

已知信息:由于医疗保健成本的增加和被诊断为痴呆症的人数的增加,开发替代方案以改善护理。怀旧疗法是长期护理机构中常用的替代方案。怀旧疗法旨在针对认知能力下降,也称为生活回顾。

本文的新增信息:怀旧疗法,也称为痴呆症护理中的心理社会干预,可以用于帮助痴呆症患者回忆过去的事件、活动和经历,以改善他们的认知、情绪和整体幸福感。怀旧疗法可以提高痴呆症患者的认知功能和生活质量,并降低抑郁和神经精神症状。怀旧疗法可能被认为是一种对居住在养老院或其他长期护理机构的痴呆症患者有用的非药物干预措施。可能需要为未来的随机对照试验 (RCT) 制定怀旧疗法应用的全球标准方案。

摘要:引言:怀旧疗法是长期护理中提供的药物干预替代方案,特别是针对痴呆症患者。然而,怀旧疗法在痴呆症护理中的效果仍不确定。目的:本研究旨在检查怀旧疗法在痴呆症患者中的应用效果。设计:根据 PRISMA 指南进行系统文献回顾和荟萃分析。方法:本研究使用 6 个数据库进行系统搜索。纳入标准包括痴呆症患者、应用怀旧疗法、随机对照试验或准实验研究,以及以英文发表的研究。使用 PEDro 量表评估纳入研究的方法学质量。使用随机效应模型进行荟萃分析,以计算怀旧疗法的汇总效果。使用 Stata 16.0 进行统计分析。结果:共有 29 项研究符合纳入标准,包括 3102 名参与者。总体而言,怀旧疗法提高了认知功能和生活质量,降低了抑郁和神经精神症状。结论:怀旧疗法可能被认为是居住在养老院或其他长期护理机构的痴呆症患者的一种有用的非药物干预措施。未来的研究可能需要制定怀旧疗法的标准方案。

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