School of Nursing, Jilin University, Changchun, China.
School of Nursing, Jilin University, Changchun, China.
Arch Gerontol Geriatr. 2023 Nov;114:105103. doi: 10.1016/j.archger.2023.105103. Epub 2023 Jun 16.
Reminiscence interventions have been extensively used to improve the psychological health of people with dementia. However, there is uncertainty about the effectiveness of group reminiscence interventions for older adults with intact cognition and mild cognitive impairment. Based on the large number of older adults and strained health care resources in China, we conducted a systematic review of the evidence on the effectiveness of group reminiscence interventions for older adults with intact cognition or mild cognitive impairment.
Five English databases were searched from inception to 21 August 2022. The quality of the included articles was assessed by using the Cochrane Risk of Bias Scale or Criteria (2020) and the Australian Evidence-Based Health Care Centre (2020). Data related to study and intervention characteristics were extracted.
Twenty-four articles were included, of which eight were quasiexperimental studies and sixteen were randomized controlled studies. The overall study quality was high, but most studies did not blind the participants. Group reminiscence interventions were beneficial in improving depressive symptoms and life satisfaction in older adults with intact cognition or mild cognitive impairment, but no valid conclusions could be drawn about the effect on quality of life.
Group reminiscence interventions are an effective type of psychological intervention to improve the psychological health of older people. In addition, group reminiscence interventions are simple and easy to implement and can be considered a routine care activity to meet the spiritual needs of cognitively intact and mildly cognitively impaired older people.
回忆干预已被广泛用于改善痴呆症患者的心理健康。然而，对于认知正常和轻度认知障碍的老年人，群体回忆干预的有效性尚不确定。基于中国大量的老年人和紧张的医疗保健资源，我们对认知正常或轻度认知障碍的老年人进行群体回忆干预的有效性进行了系统评价。
从成立到 2022 年 8 月 21 日，检索了 5 个英文数据库。使用 Cochrane 风险偏倚量表或标准（2020 年）和澳大利亚循证医疗保健中心（2020 年）评估纳入文章的质量。提取了与研究和干预特征相关的数据。
共纳入 24 篇文章，其中 8 篇为准实验研究，16 篇为随机对照研究。总体研究质量较高，但大多数研究未对参与者进行盲法。群体回忆干预对改善认知正常或轻度认知障碍老年人的抑郁症状和生活满意度有益，但对于生活质量的影响，无法得出有效结论。
群体回忆干预是一种有效的心理干预方法，可改善老年人的心理健康。此外，群体回忆干预简单易行，可以作为常规护理活动，以满足认知正常和轻度认知障碍老年人的精神需求。
