园艺疗法对老年人抑郁症状的影响：系统评价和荟萃分析。
The effect of horticultural therapy on depressive symptoms among the elderly: A systematic review and meta-analysis.
机构信息
School of Art Design and Media, East China University of Science of Technology, Shanghai, China.
出版信息
Front Public Health. 2022 Aug 24;10:953363. doi: 10.3389/fpubh.2022.953363. eCollection 2022.
OBJECTIVE
This systematic review and meta-analysis aimed to assess the effectiveness of horticultural therapy on depressive symptoms in the elderly and determine the potential moderators of the intervention effect.
METHODS
In early June 2022, randomized controlled trials and Quasi-experimental studies were searched on Web of Science, PsycINFO, CINAHL, EMBASE, Medline, PubMed, CNKI, WANFANG DATA, and CQVIP. Three independent authors proposed the following inclusion criterion for this study: the elderly with applied horticultural therapy intervention compared to non-HT intervention. From a total of 3,068 records, only 34 studies met the inclusion criteria. After the full-text screening, 13 studies were included in the analysis. An assessment of the risk of bias was conducted using RoBINS-I and RoB 2 tools. The comprehensive Meta-Analysis 3.3 tool was used for the meta-analysis.
RESULTS
Meta-analysis suggested that mean depression scores of elderly people who underwent horticultural therapy intervention were significantly lower than those who did not receive HT therapy. More significant effects were found for the elderly with mean age equal to or over 75 years instead of younger than 75 years, in randomized controlled trials instead of quasi-experimental studies, for studies with more than 20 participants receiving horticultural therapy at the same time and place instead of equal to or fewer than 20 horticultural therapy participants.
CONCLUSIONS
This evidence supported that horticultural therapy had a significant positive effect on the depressive symptoms outcomes for the elderly. Therefore, our data revealed that horticultural therapy could be considered as a part of therapy in depressive symptoms reduction programs. Due to the high degree of heterogeneity and the limited number of studies, a future review is warranted to determine the effects of horticultural therapy on depressive symptoms reduction in the elderly.
SYSTEMATIC REVIEW REGISTRATION
https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=272464, identifier: CRD42021272464.
目的
本系统评价和荟萃分析旨在评估园艺疗法对老年人抑郁症状的有效性，并确定干预效果的潜在调节因素。
方法
2022 年 6 月初，在 Web of Science、PsycINFO、CINAHL、EMBASE、Medline、PubMed、CNKI、WANFANG DATA 和 CQVIP 上搜索了随机对照试验和准实验研究。三位独立作者为这项研究提出了以下纳入标准：接受园艺疗法干预的老年人与非-HT 干预相比。在总共 3068 条记录中，只有 34 项研究符合纳入标准。经过全文筛选，共有 13 项研究纳入分析。使用 RoBINS-I 和 RoB 2 工具对偏倚风险进行评估。使用综合 Meta 分析 3.3 工具进行荟萃分析。
结果
荟萃分析表明，接受园艺疗法干预的老年人的平均抑郁评分明显低于未接受 HT 治疗的老年人。对于平均年龄等于或大于 75 岁的老年人而不是小于 75 岁的老年人，对于随机对照试验而不是准实验研究，对于同时在同一地点接受园艺疗法治疗的参与者多于 20 人而不是等于或少于 20 名园艺疗法参与者的研究，效果更为显著。
结论
这一证据支持园艺疗法对老年人抑郁症状有显著的积极影响。因此，我们的数据表明，园艺疗法可以被视为减少抑郁症状方案中的一种治疗方法。由于高度的异质性和研究数量有限，未来有必要进行一项综述，以确定园艺疗法对老年人抑郁症状缓解的影响。
系统评价注册
https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=272464，标识符：CRD42021272464。
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