不同心理干预方法对养老机构老年人抑郁症状干预效果的网状Meta分析  

Effect of different psychological interventions on depressive symptoms of the elderly in pension institutions:a net-work Meta analysis

作　　者：白治繁 李万琴 宋明芳[1] 张笑燕[3] 陆亚琼 张春兰[3] BAI Zhifan;LI Wanqin;SONG Mingfang;ZHANG Xiaoyan;LU Yaqiong;ZHANG Chunlan(Nursing Department,the Second Hospital of Yulin,Yulin 719000,China;Disease Control and Prevention Center of Yulin,Yulin 719000,China;Department of Endocrinology,the Second Affiliated Hospital of Soochow University,Suzhou 215000,China)

机构地区：[1]榆林市第二医院护理部,719000 [2]榆林市疾病预防控制中心,719000 [3]苏州大学附属第二医院内分泌科,苏州市215000

出　　处：《护理管理杂志》2022年第9期632-638,共7页Journal of Nursing Administration

摘　　要：目的探讨不同心理干预方法对养老机构老年人抑郁症状干预的效果。方法检索荷兰医学文摘数据库、临床对照试验中心注册数据库、PubMed、Web of Science、中国生物医学文献数据库、中国知网、万方知识服务平台和维普中文科技期刊数据库,检索时间均从建库至2020年8月31日,检索结束后由两名研究人员对照纳入标准对检索到的文献进行逐一筛选、提取相关资料,并对文献进行质量评价。使用Stata 14.0软件对所纳入的研究进行网状Meta分析。结果共纳入文献16篇,1039例老年人。网状Meta分析结果显示:与养老机构常规健康教育治疗相比宠物陪伴疗法、综合心理健康教育疗法、认知行为疗法、音乐疗法、怀旧疗法、问题解决疗法能有效缓解养老机构老年人抑郁症状(P<0.05);宠物陪伴疗法与认知行为疗法、音乐疗法、怀旧疗法、问题解决疗法及支持性心理治疗比较,差异有显著性(P<0.05);与支持性心理治疗相比,综合性心理健康教育疗法、音乐疗法、认知行为疗法、怀旧疗法、问题解决疗法在缓解养老机构老年人抑郁方面效果更显著,差异有统计学意义(P<0.05)。累积排序概率图曲线下面积结果显示,缓解养老机构老年人抑郁症状的主要心理干预方法依次为宠物陪伴疗法、音乐疗法、综合性心理健康教育疗法、认知行为疗法、怀旧疗法、问题解决疗法、养老机构常规健康教育、支持性心理治疗。结论宠物陪伴疗法对缓解养老机构老年人抑郁症状效果优于其他心理干预方法。Objective To evaluate the effect of different psychological interventions on depression symptoms of the elderly in pension institutions.Method A systematic search was carried out which came from Excerpta Medical Database(EMBASE),the Cochrane Central of Register Controlled Trials(CENTRAL),PubMed,Web of Science,Chinese Biomedical Literature Data(CBM),CNKI,Wanfang Database and Weipu Database.The retrieval time was from the establishement of the database to August 31,2020.The literature was screened and evaluated by two reviewers according to the criteria.STATA 14.0 software was used to make a net-work meta analysis.Results A total of 16 papers and 1039 elderly were included.The net work meta analysis showed that pet therapy,comprehensive psychological intervention therapy,cognitive behavior therapy,music therapy,reminiscence therapy and problem solving therapy had significant differences on reducing the depressive symptoms of the elderly(P<0.05),compared with general health education.There was significant difference between pet therapy and cognitive behavior therapy,music therapy,reminiscence therapy,problem solving therapy and supportive psychotherapy(P<0.05).Cognitive behavior therapy,comprehensive psychological intervention therapy,music therapy,reminiscence therapy and problem-solving therapy were significantly different with supportive psychotherapy(P<0.05).The results of the area under the curve of the cumulative ranking probability graph show that the psychological intervention which could alleviate the depressive symptoms were pet therapy,music therapy,comprehensive psychological intervention therapy,cognitive behavior therapy,reminiscence therapy,problem solving therapy,general health education and positive psychotherapy.Conclusion Pet companion therapy was better than other psychological intervention methods in alleviating the depressive symptoms of the elderly in nursing institutions.

关 键 词：老年抑郁 心理干预 养老机构 网状Meta分析 

分 类 号：R473.59[医药卫生—护理学]