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使用通用照片的心理社会干预对痴呆症患者社会互动、情绪和生活质量的影响:系统评价。

The effects of psychosocial interventions using generic photos on social interaction, mood and quality of life of persons with dementia: a systematic review.

机构信息

Department of Psychiatry, Amsterdam University Medical Centers, Location VUmc / Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.

Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, The Netherlands.

出版信息

BMC Geriatr. 2023 Sep 14;23(1):560. doi: 10.1186/s12877-023-04270-w.


DOI:10.1186/s12877-023-04270-w
PMID:37710147
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10500875/
Abstract

BACKGROUND: Although family photos are often used in the psychosocial care for people with dementia, little is known about the use and effectiveness of generic photos. This systematic literature review explored psychosocial interventions using generic photos for people with dementia, and the effects they have on their social interaction and/or mood and/or quality of life. In addition, it was investigated whether these interventions made use of technology in its implementation. METHODS: A systematic search on the following databases was performed: PubMed, Embase, APA PsychInfo, Cinahl, Web of Science, Scopus and Cochrane Central. Inclusion and exclusion criteria were based on the PICO model (Population, Intervention, Comparison, Outcome), and quality assessment was undertaken using the Weight of Evidence Framework. Narrative synthesis was undertaken to summarize study characteristics- settings and designs, type of psychosocial interventions identified, type of photos and technology used, outcome measures, and results. RESULTS: A total of 2,035 results were found, however after title, abstract and full-text screening, a total of 8 studies were included. The most common psychosocial intervention using generic photos was found to be reminiscence therapy, followed by art-viewing activities. In studies that used technology, it was reported that viewing digitalized photos were either similar or better to conventional printed photos. Despite photos being generic, it was found that generic photos could still hold personal significance to the person with dementia. Some positive and significant effects were found for the outcomes social interaction, mood and quality of life, though no study evaluated all three outcomes. Two studies were rated as having high overall quality, 4 were rated as fair, and 2 studies had a low quality assessment rating. CONCLUSION: Studies found using generic photos were limited, showing varying outcomes and methodological quality. Firm conclusions on the effectiveness of interventions using generic photos are not possible. However, the use of generic photos in psychosocial interventions is a promising area for future research. Researchers should consider studies with better methodological quality and larger samples; and qualitative studies where the intention is to get better insight into successful implementation and impact mechanisms of such psychosocial interventions. TRIAL REGISTRATION: n/a.

摘要

背景:尽管家庭照片经常被用于痴呆症患者的社会心理护理,但对于通用照片的使用和效果知之甚少。本系统文献综述探讨了使用通用照片对痴呆症患者进行的社会心理干预及其对其社交互动和/或情绪和/或生活质量的影响。此外,还研究了这些干预措施在实施过程中是否利用了技术。

方法:对以下数据库进行了系统检索:PubMed、Embase、APA PsychInfo、Cinahl、Web of Science、Scopus 和 Cochrane Central。纳入和排除标准基于 PICO 模型(人群、干预、比较、结局),并使用证据权重框架进行质量评估。采用叙述性综合方法总结研究特征-设置和设计、确定的社会心理干预类型、使用的照片和技术类型、结局测量和结果。

结果:共发现 2035 项结果,但经过标题、摘要和全文筛选后,共纳入 8 项研究。使用通用照片最常见的社会心理干预方法是怀旧疗法,其次是艺术观赏活动。在使用技术的研究中,报告称数字化照片与传统印刷照片相似或更好。尽管照片是通用的,但发现通用照片对痴呆症患者仍具有个人意义。一些研究发现社交互动、情绪和生活质量的结果具有积极意义,尽管没有研究评估所有三个结局。有两项研究被评为总体质量高,四项研究被评为中等,两项研究的质量评估评分较低。

结论:使用通用照片的研究有限,结果和方法学质量各不相同。因此,不能对使用通用照片的干预措施的有效性做出确切结论。然而,在社会心理干预中使用通用照片是未来研究的一个有前途的领域。研究人员应考虑采用方法学质量更好、样本量更大的研究;以及旨在更好地了解此类社会心理干预的成功实施和影响机制的定性研究。

试验注册:无。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edd/10500875/ac6d7aa4126f/12877_2023_4270_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edd/10500875/ac6d7aa4126f/12877_2023_4270_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edd/10500875/ac6d7aa4126f/12877_2023_4270_Fig1_HTML.jpg

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引用本文的文献

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本文引用的文献

[1]
Digital Storytelling with Persons Living with Dementia: Elements of Facilitation, Communication, Building Relationships, and Using Technology.

J Appl Gerontol. 2023-5

[2]
The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.

Syst Rev. 2021-3-29

[3]
Technology-driven solutions to prompt conversation, aid communication and support interaction for people with dementia and their caregivers: a systematic literature review.

BMC Geriatr. 2021-3-4

[4]
Can Use of Digital Technologies by People with Dementia Improve Self-Management and Social Participation? A Systematic Review of Effect Studies.

J Clin Med. 2021-2-5

[5]
The effects of the COVID-19 pandemic on people with dementia.

Nat Rev Neurol. 2021-2

[6]
The Impact of COVID-19 Measures on Well-Being of Older Long-Term Care Facility Residents in the Netherlands.

J Am Med Dir Assoc. 2020-11

[7]
Participatory visual arts activities for people with dementia: a review.

Perspect Public Health. 2022-1

[8]
The Effectiveness of e-Health Solutions for Aging With Cognitive Impairment: A Systematic Review.

Gerontologist. 2021-9-13

[9]
Reminiscence therapy for older adults with Alzheimer's disease: A literature review.

Int J Ment Health Nurs. 2020-6

[10]
Music evoked autobiographical memories in people with behavioural variant frontotemporal dementia.

Memory. 2020-1-20

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