蒙台梭利教育对老年痴呆病人进食及情绪影响的Meta分析  

Influence of Montessori′s education on eating and e motion of senile dementia patients:a Meta-analysis

作　　者：齐玉梅[1] 马丽丽[2] 胡明月 胡恒愉 陈凤辉 冯辉 QI Yumei;MA Lili;HU Mingyue;HU Hengyu;CHEN Fenghui;FENG Hui(Jingchu University of Technology,Hubei 448000 China)

机构地区：[1]荆楚理工学院,湖北448000 [2]河南科技大学 [3]中南大学护理学院

出　　处：《循证护理》2021年第16期2157-2163,共7页Chinese Evidence-Based Nursing

摘　　要：目的:系统评价蒙台梭利教育对老年痴呆病人进食及情绪的影响。方法:计算机检索中国生物医学文献数据库、中国知网、维普、万方数据库、the Cochrane Library、PubMed、Web of Science、EMbase、CINAHL中关于蒙台梭利教育对老年痴呆病人进食及情绪影响的随机对照试验,检索时限均从建库至2019年11月7日,由2位研究者独立筛选文献提取资料与评价纳入研究的偏倚风险后,采用RevMan 5.3软件行Meta分析。结果:共纳入7篇随机对照试验,涉及436例老年人。Meta分析结果显示,蒙台梭利教育能提高老年痴呆病人进食行为能力[MD=0.63,95%CI(0.20,1.06),P=0.004],减少进食困难[MD=-2.37,95%CI(-2.81,-1.93),P<0.00001];延长进食时间[MD=6.01,95%CI(4.33,7.70),P<0.00001];但对老年痴呆病人微营养和躁动及抑郁情绪差异无统计学意义(P>0.05)。结论:现有证据表明,蒙台梭利教育可改善老年痴呆病人进食能力,但在改善微营养和不良情绪方面未显示出明显优势,尚需要大样本、深入研究进行验证。Objective:To systematically evaluate the influence of Montessori education on eating and emotion in senile dementia patients.Methods:Randomized controlled trials on the influence of Montessori education on eating and emotion of senile dementia patients were retrieved from CBM,CNKI,VIP,WanFang database,the Cochrane Library,PubMed,Web of Science,EMbase and CINAHL.The retrieval time was from the establishment of the database to November 7,2019.Two researchers independently screen the literature,extract the data and evaluate the bias risk of the included study.RevMan 5.3 software was used for Meta-analysis.Results:7 randomized controlled trials was included,involving 436 elderly patients.Meta-analysis results shows that Montessori education could improve the eating behavior ability of senile dementia patiens[MD=0.63,95%CI(0.20,1.06),P=0.004];reduce eating difficulties[MD=-2.37,95%CI(-2.81,-1.93),P<0.00001];prolongs eating time[MD=6.01,95%CI(4.33,7.70),P<0.00001];However,there was no significant difference in micronutrient,agitation and depression in senile dementia patients(P>0.05).Conclusion:Current evidences shows that Montessori education can improve the eating ability of patients with senile dementia,but it does not show obvious advantages in improving micronutrient and bad mood,which needs more samples to carry out in-depth study.

关 键 词：蒙台梭利教育 老年痴呆 进食 情绪 随机对照试验 META分析 循证护理 

分 类 号：R473.74[医药卫生—护理学]