怀旧疗法对轻中度老年痴呆患者影响的Meta分析  

Reminiscence therapy for the elderly with mild to moderate dementia:a meta-analysis

作　　者：刘艳存[1] 李婷[1] 罗丹[1] 

机构地区：[1]武汉大学HOPE护理学院,湖北武汉430071

出　　处：《护理学杂志》2016年第21期4-9,共6页Journal of Nursing Science

摘　　要：目的评价怀旧疗法对轻中度老年痴呆患者的干预效果。方法计算机检索CNKI、CBM、VIP、万方、PubMed、SCI、Cochrane Library数据库,检索时限均为建库至2016年3月,并追溯纳入研究的参考文献。收集国内外关于轻中度老年痴呆患者运用怀旧疗法的随机对照试验(RCT)研究并采用RevMan5.3软件进行Meta分析。结果纳入文献21篇。Meta分析结果显示,怀旧疗法可改善轻中度老年痴呆患者的认知能力、抑郁情绪、日常行为能力、生活质量及健康状态(均P<0.01)。结论怀旧疗法可用于改善轻中度老年痴呆患者的认知功能和情绪状态,促进患者的日常生活,进一步提高患者的生活质量和健康状态。Objective To examine the clinical effects of reminiscence therapy in the elderly with mild to moderate dementia. Methods Computer-aided searches were conducted in the following databases from inception to March 2016： PubMed, Web of Science, Cochrane Library and 4 Chinese databases （CNKI, CMB, VIP, and WanFang）. Besides, references of the included articles were searched as well. Randomized controlled trials evaluating reminiscence therapy in the elderly with mild to moderate dementia were included and then a meta-analysis was performed using RevMan5.3 software. Results Twenty-one articles met the inclusion criteria. Meta-analysis showed that reminiscence therapy were effective in improving cognitive function, activity of daily living, quality of life and health state, as well as in ameliorating depression of the elderly with mild to moderate dementia （P〈0.01 for all）. Conclu- sion It has been verified through this recta-analysis that reminiscence therapy can improve cognitive function, emotional state, ac- tivity of daily living, quality of life and health state of the elderly with mild to moderate dementia.

关 键 词：老年痴呆 怀旧疗法 认知能力 抑郁情绪 日常行为能力 生活质量 META分析 

分 类 号：R473.5[医药卫生—护理学]