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动物辅助干预对神经疾病病程的影响:系统评价。

The effect of animal-assisted interventions on the course of neurological diseases: a systematic review.

机构信息

Institute of Behavioral Sciences, Semmelweis University, Nagyvárad Square 4, 1089, Budapest, Hungary.

South-Pest Central Hospital National Institute of Haematology and Infectology, Centre for Rehabilitation, Jahn Ferenc, Street 62-66, 1196, Budapest, Hungary.

出版信息

Syst Rev. 2023 Nov 25;12(1):224. doi: 10.1186/s13643-023-02387-y.

Abstract

BACKGROUND

In our experience, working with a therapy animal strengthens endurance, maintains motivation, provides a sense of achievement, and boosts overall mental resilience. The aims of this work were to summarize the results of quantitative research on the possibilities of animal-assisted intervention (AAI) among people with neurodegenerative and cerebrovascular diseases and to attempt to assess the effects of animal-assisted interventions in an objective manner and to find supporting evidence based on published literature.

METHODS

Our target groups are people diagnosed with Parkinson's disease, multiple sclerosis, or stroke. A systematic search of relevant articles was conducted by two independent researchers in April 2021 and August 2023. The search for studies was conducted using PubMed, Google Scholar, Web of Science, Scopus, and Ovid databases, specifying keywords and search criteria. The qualitative evaluation of the research reports was conducted by four independent researchers, using the Newcastle-Ottawa Quality Assessment Form.

RESULTS

According to the scientific criteria and based on the Newcastle-Ottawa Quality Assessment Form, thirteen publications met the search criteria, out of which 9 publications were rated good and 4 publications were rated poor. Evaluating the publications we found evidence that AAI had a measurable impact on participants, as their physical and mental health status significantly improved; however, mental health improvement was more prominent.

CONCLUSIONS

By developing evidence-based research methodology and standardized research settings, AAI could be measured effectively as part of health care practice. This would bring significant benefits to the rehabilitation of patients in need.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD42021255776.

摘要

背景

根据我们的经验,与治疗动物合作可以增强耐力、保持动力、带来成就感,并提高整体心理适应力。这项工作的目的是总结关于动物辅助干预(AAI)在神经退行性和脑血管疾病患者中应用的可能性的定量研究结果,并尝试以客观的方式评估动物辅助干预的效果,并根据已发表的文献寻找支持证据。

方法

我们的目标人群是被诊断患有帕金森病、多发性硬化症或中风的患者。两名独立研究人员于 2021 年 4 月和 2023 年 8 月进行了系统的相关文章搜索。使用 PubMed、Google Scholar、Web of Science、Scopus 和 Ovid 数据库,通过指定关键字和搜索标准,对研究进行了搜索。四名独立研究人员使用纽卡斯尔-渥太华质量评估表对研究报告进行了定性评估。

结果

根据科学标准,并基于纽卡斯尔-渥太华质量评估表,有 13 篇出版物符合搜索标准,其中 9 篇被评为良好,4 篇被评为较差。对出版物进行评估后,我们发现有证据表明 AAI 对参与者有可衡量的影响,因为他们的身心健康状况显著改善;然而,心理健康的改善更为明显。

结论

通过制定基于证据的研究方法和标准化研究环境,AAI 可以作为医疗保健实践的一部分进行有效衡量。这将为有需要的患者的康复带来重大益处。

系统评价注册

PROSPERO CRD42021255776。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc02/10675848/e15f153f6baa/13643_2023_2387_Fig1_HTML.jpg

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