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体力活动干预对成年人照顾者的影响:一项荟萃分析。

Effects of physical activity interventions for caregivers of adults: A meta-analysis.

机构信息

Department of Psychology.

Department of Applied Human Sciences.

出版信息

Health Psychol. 2022 Sep;41(9):585-598. doi: 10.1037/hea0001212. Epub 2022 Jul 7.

DOI:10.1037/hea0001212
PMID:35797152
Abstract

OBJECTIVES

Caregivers of adults afflicted with a variety of chronic physical and mental health conditions are at risk for poorer well-being and reduced health related to chronic stress. Physical activity (PA) interventions may alleviate aspects of this burden, as well as provide benefits to physical health. However, notable limitations exist in the previous reviews that have attempted to synthesize the evidence for the benefits of PA interventions.

METHOD

A meta-analysis was conducted investigating and quantifying the impact of PA interventions on different domains of mental and physical health for caregivers of adults, including only randomized and nonrandomized control trials.

RESULTS

A comprehensive search yielded 25 studies. PA interventions led to small-to-medium effects (Hedges' = .37, 95% confidence interval [.18, .56]) on mental health, with the most notable impact on quality of life (Hedges' = .74, 95% CI [48, 1.01]). PA interventions led to trivial effects on physical health (Hedges' = .15, 95% CI [.01, .31]), with small but significant effects found for mobility outcomes (Hedges' = .28, 95% CI [.10, .47]). Yoga interventions yielded large effects ( = .85, 95% CI [.52, 1.17], < .001) compared to other forms of PA ( = .24, 95% CI [.40, .43], = .018), primarily within the domain of mental health.

CONCLUSIONS

PA interventions appear to be effective for improving caregiver health, particularly in relation to psychological health. Further high-quality research using standardized measures for outcome comparison is needed to determine the type, formats, and length of PA interventions that best serve different caregiving populations. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

目的

患有各种慢性身心健康状况的成年人的护理人员面临着幸福感下降和与慢性压力相关的健康状况恶化的风险。身体活动 (PA) 干预措施可能减轻这种负担的某些方面,并对身体健康有益。然而,以前试图综合 PA 干预措施对护理人员身心健康不同领域的益处的研究存在显著局限性。

方法

进行了一项荟萃分析,调查和量化了 PA 干预对成年护理人员心理健康和身体健康不同领域的影响,仅包括随机和非随机对照试验。

结果

全面搜索产生了 25 项研究。PA 干预对心理健康产生了小到中等的影响(Hedges' =.37,95%置信区间 [.18,.56]),对生活质量的影响最为显著(Hedges' =.74,95%CI [48,1.01])。PA 干预对身体健康产生了微不足道的影响(Hedges' =.15,95%CI [.01,.31]),但对移动能力结果有小但显著的影响(Hedges' =.28,95%CI [.10,.47])。与其他形式的 PA 相比,瑜伽干预产生了较大的效果( =.85,95%CI [.52,1.17], <.001)( =.24,95%CI [.40,.43], =.018),主要在心理健康领域。

结论

PA 干预似乎对改善护理人员的健康有效,特别是在心理健康方面。需要进一步使用标准化的结果比较措施进行高质量的研究,以确定最适合不同护理人群的 PA 干预类型、格式和长度。

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