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艺术治疗对轻度或重度神经认知障碍患者的影响:系统评价和荟萃分析。

Effects of art therapy for people with mild or major neurocognitive disorders: A systematic review and meta-analysis.

机构信息

School of Nursing, Faculty of health sciences, Universitas Citra Bangsa, Indonesia.

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

出版信息

Arch Psychiatr Nurs. 2023 Aug;45:61-71. doi: 10.1016/j.apnu.2023.04.011. Epub 2023 May 4.

DOI:10.1016/j.apnu.2023.04.011
PMID:37544703
Abstract

OBJECTIVES

The aim of this study was to analyze the efficacy of non-pharmacological, interactive, and emotional art therapy interventions for patients with mild neurocognitive disorder (mild NCD) or major neurocognitive disorder (MNCD).

METHODS

A systematic review and meta-analysis assessed English-language literature published from January 1, 2001, to August 22, 2021, and indexed in CINAHL, EMBASE, MEDLINE, PubMed, Web of Science, and PsycINFO. People with mild NCD or MNCD who received art therapy were classified as the intervention group. Study quality was assessed using the Risk of Bias (RoB) 2 and the Joanna Briggs Institute tool.

RESULTS

Among nine included studies, depression was significantly reduced as compared with control groups (Cohen's d = -0.52 [95 % CI = -0.99-0.05], p < 0.001, I2 = 62.90 %) but not cognitive function or quality of life.

CONCLUSION

People with mild neurocognitive disorder or MNCD are encouraged to engage in art therapy delivered by art therapists collaborating with healthcare providers. The effects of specific types of art therapy should be explored.

PRACTICAL IMPLICATION

Healthcare providers should be encouraged to provide art therapy designed to reduce depression in patients with mild NCD or MNCD.

摘要

目的

本研究旨在分析非药物、互动和情感艺术治疗干预对轻度神经认知障碍(mild NCD)或重度神经认知障碍(MNCD)患者的疗效。

方法

系统评价和荟萃分析评估了 2001 年 1 月 1 日至 2021 年 8 月 22 日以英文发表并在 CINAHL、EMBASE、MEDLINE、PubMed、Web of Science 和 PsycINFO 中索引的文献。接受艺术治疗的轻度 NCD 或 MNCD 患者被归类为干预组。使用风险偏倚(RoB)2 和 Joanna Briggs 研究所工具评估研究质量。

结果

在纳入的 9 项研究中,与对照组相比,抑郁显著减轻(Cohen's d=-0.52 [95% CI=-0.99-0.05],p<0.001,I2=62.90%),但认知功能或生活质量没有改善。

结论

鼓励轻度神经认知障碍或 MNCD 患者接受艺术治疗,由与医疗保健提供者合作的艺术治疗师提供。应探索特定类型的艺术治疗的效果。

实用意义

鼓励医疗保健提供者提供旨在减轻轻度 NCD 或 MNCD 患者抑郁的艺术治疗。

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