花园使用对养老院痴呆症患者生活质量及行为和心理症状的影响：一项系统综述
The effect of garden use on quality of life and behavioral and psychological symptoms of dementia in people living with dementia in nursing homes: a systematic review.
作者信息
van der Velde-van Buuringen Melanie, Hendriks-van der Sar Rosalie, Verbeek Hilde, Achterberg Wilco P, Caljouw Monique A A
机构信息
University Network for the Care Sector Zuid-Holland, Leiden University Medical Center, Leiden, Netherlands.
Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.
出版信息
Front Psychiatry. 2023 Apr 12;14:1044271. doi: 10.3389/fpsyt.2023.1044271. eCollection 2023.
OBJECTIVES
Considering the importance of going outside in a natural environment for people in general, and people living with dementia in particular, we want to unravel the aspects by which garden use affects quality of life (QoL) and behavioral and psychological symptoms of dementia (BPSD) in people living with dementia in nursing homes.
DESIGN
Systematic review.
SETTING AND PARTICIPANTS
People living with dementia in nursing homes.
METHODS
This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Eight electronic bibliographic databases were searched (May 2022). Quantitative, qualitative and mixed-methods studies describing the effect of garden use on QoL, BPSD, or other outcomes related to QoL or BPSD in people living with dementia in nursing homes were included. The methodological quality of individual studies was assessed with the Mixed Methods Appraisal Tool (MMAT) and a narrative synthesis of the results was performed.
RESULTS
After screening title and abstract ( = 498), and full-text assessment ( = 67), 19 publications were included. These described 17 studies and three types of interventions: (1) interventions regarding the evaluation of effects of specifically designed nursing home gardens, (2) participation of the people living with dementia in outside activities, and (3) other interventions, for example, garden visits and different seasons.
CONCLUSIONS AND IMPLICATIONS
Overall, first studies appear to suggest positive effects of garden use on QoL, BPSD, or other outcomes related to QoL or BPSD (stress, sleep, and mood) in people living with dementia in nursing homes. However, consensus regarding measurements and key outcomes, taking into account the physical, social, and organizational aspects when designing the garden use intervention, is necessary for the reliable evaluation of these interventions.
SYSTEMATIC REVIEW REGISTRATION
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=283267, identifier: CRD42021283267.
目的
考虑到外出至自然环境对一般人群尤其是痴呆症患者的重要性，我们希望探究疗养院中痴呆症患者使用花园对其生活质量（QoL）以及痴呆行为和心理症状（BPSD）产生影响的相关因素。
设计
系统评价。
研究背景与参与者
疗养院中的痴呆症患者。
方法
本系统评价遵循系统评价与Meta分析的首选报告项目（PRISMA）指南。检索了八个电子文献数据库（2022年5月）。纳入了描述疗养院中痴呆症患者使用花园对QoL、BPSD或其他与QoL或BPSD相关结局的影响的定量、定性和混合方法研究。使用混合方法评估工具（MMAT）评估个体研究的方法学质量，并对结果进行叙述性综合分析。
结果
在筛选标题和摘要（n = 498）以及全文评估（n = 67）后，纳入了19篇出版物。这些出版物描述了17项研究和三种干预类型：（1）关于专门设计的疗养院花园效果评估的干预；（2）痴呆症患者参与户外活动；（3）其他干预，例如花园参观和不同季节。
结论与启示
总体而言，初步研究似乎表明，疗养院中痴呆症患者使用花园对QoL、BPSD或其他与QoL或BPSD相关的结局（压力、睡眠和情绪）具有积极影响。然而，为了可靠地评估这些干预措施，在设计花园使用干预措施时，需要就测量方法和关键结局达成共识，同时考虑物理、社会和组织方面的因素。
系统评价注册
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=283267，标识符：CRD42021283267
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