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二元心理社会教育对轻度认知障碍或痴呆患者及其非正式照料者的影响:系统评价与荟萃分析方案

Effects of dyadic psychosocial education on people with mild cognitive impairment or dementia and their informal caregivers: protocol for a systematic review and meta-analysis.

作者信息

Ni Ping, Ge Mei-Ling, Liu Li, Hu Xiuying

机构信息

Innovation Center of Nursing Research and Nursing Key Laboratory of Sichuan Province, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.

The Center of Gerontology and Geriatrics (National Clinical Research Center for Geriatrics), West China Hospital, Sichuan University, Chengdu, China.

出版信息

BMJ Open. 2025 Mar 7;15(3):e093349. doi: 10.1136/bmjopen-2024-093349.

DOI:10.1136/bmjopen-2024-093349
PMID:40054866
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11891524/
Abstract

INTRODUCTION

Mild cognitive impairment (MCI) and dementia impose a significant burden on individuals and their caregivers. Dyadic psychosocial education, which treats care recipients and their caregivers as a pair of active participants, has the potential to improve health outcomes for people with cognitive impairment and their caregivers. However, the results of recent studies on this subject are contradictory. We aim to evaluate the effectiveness of dyadic psychosocial education for people with MCI or dementia and their informal caregivers.

METHODS AND ANALYSIS

Six databases will be searched. We will include all randomised controlled trials that compare dyadic psychosocial education to usual care. The risk of bias will be assessed using the Cochrane Risk-of-Bias Assessment Tool (V.2). Meta-analyses, subgroup analyses and sensitivity analyses will be performed using Stata V.15.1. A narrative synthesis will be conducted if quantitative analysis is not feasible.

ETHICS AND DISSEMINATION

This study and subsequent systematic review will not collect individual-level data and, therefore, do not require ethics committee approval. Peer-reviewed publications will disseminate the study results.

PROSPERO REGISTRATION NUMBER

CRD42024497554.

摘要

引言

轻度认知障碍(MCI)和痴呆症给患者及其照料者带来了沉重负担。二元心理社会教育将受照料者及其照料者视为一对积极参与者,有可能改善认知障碍患者及其照料者的健康状况。然而,近期关于该主题的研究结果相互矛盾。我们旨在评估二元心理社会教育对MCI或痴呆症患者及其非正式照料者的有效性。

方法与分析

将检索六个数据库。我们将纳入所有比较二元心理社会教育与常规护理的随机对照试验。将使用Cochrane偏倚风险评估工具(第2版)评估偏倚风险。将使用Stata 15.1进行荟萃分析、亚组分析和敏感性分析。如果无法进行定量分析,将进行叙述性综合分析。

伦理与传播

本研究及后续系统评价不会收集个体层面的数据,因此无需伦理委员会批准。经同行评审的出版物将传播研究结果。

PROSPERO注册号:CRD42024497554。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd4/11891524/6ab7c8c9dd14/bmjopen-15-3-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd4/11891524/6ab7c8c9dd14/bmjopen-15-3-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd4/11891524/6ab7c8c9dd14/bmjopen-15-3-g001.jpg

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本文引用的文献

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Prevalence of and Annual Conversion Rates to Mild Cognitive Impairment and Dementia: Prospective, Longitudinal Study of an Essential Tremor Cohort.轻度认知障碍和痴呆的患病率和年转化率:原发性震颤队列的前瞻性、纵向研究。
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