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针对痴呆症患者及其家庭护理人员的身心疗法:一项系统综述

Mind-body practices for people living with dementia and their family carers: a systematic review.

作者信息

van der Ploeg Eva S, Bitane Rutger M, Schoones Jan W, Achterberg Wilco P, Smaling Hanneke J A

机构信息

Department of Public Health and Primary Care, 4501 Leiden University Medical Center , Leiden, The Netherlands.

Directorate of Research Policy, Leiden University Medical Center, Leiden, The Netherlands.

出版信息

J Complement Integr Med. 2024 Jul 16;22(1):15-73. doi: 10.1515/jcim-2024-0142. eCollection 2025 Mar 1.

Abstract

INTRODUCTION

People with dementia and their family carers may benefit from non-pharmacological interventions, including mind-body (MB-) practices, which can improve physical and mental health by inducing relaxation. This systematic review provides an overview of availability and effects of MB-practices.

CONTENT

The authors performed a systematic search in PubMed, Embase, Emcare, Web of Science, Cochrane Library, PsycINFO, China National Knowledge Infrastructure and Academic Search Premier on February 1, 2024. Research papers on MB-practices for people with dementia and/or their family carers in English, Chinese, Japanese, German, French and Dutch were included if a full text was available. Selection of included articles, data extraction and methodological quality assessments were conducted by two researchers.

SUMMARY

Of the 130 included studies, 100 (77 %) were of high quality. Traditional Chinese Medicine (TCM) and touch interventions for people with dementia, and meditations for family carers resulted in improvements in respectively cognition and neuropsychiatric symptoms, and mental health. Lack of evidence for other MB-practices is related to small numbers of studies, fragmented use of outcome measures and mixed findings.

OUTLOOK

MB-practices showed promising results. We recommend implementation and further research of TCM- and touch interventions for people with dementia as well as meditations for family carers. We suggest a cross-over of the promising results of one group to be studied in the other group.

摘要

引言

患有痴呆症的患者及其家庭护理人员可能会从非药物干预措施中受益,包括身心(MB-)练习,这种练习可以通过诱导放松来改善身心健康。本系统评价概述了MB练习的可用性和效果。

内容

作者于2024年2月1日在PubMed、Embase、Emcare、Web of Science、Cochrane图书馆、PsycINFO、中国知网和学术搜索高级版中进行了系统检索。如果有全文,那么关于痴呆症患者和/或其家庭护理人员的MB练习的英文、中文、日文、德文、法文和荷兰文研究论文均被纳入。由两名研究人员进行纳入文章的选择、数据提取和方法学质量评估。

总结

在纳入的130项研究中,100项(77%)质量较高。针对痴呆症患者的中医(TCM)和触摸干预,以及针对家庭护理人员的冥想分别改善了认知和神经精神症状以及心理健康。其他MB练习缺乏证据与研究数量少、结局指标使用零散以及结果混杂有关。

展望

MB练习显示出有前景的结果。我们建议对痴呆症患者实施中医和触摸干预以及对家庭护理人员实施冥想并进行进一步研究。我们建议将一组有前景的结果交叉到另一组进行研究。

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