幽默疗法缓解老年人心理问题效果的Meta分析  

A meta-analysis of the effects of humor therapy in alleviating psychological problems in the elderly

作　　者：何路生 张丽[1] 聂臣聪[1] 陈佳增 杨婷 周芮伊 HE Lu-sheng;ZHANG Li;NIE Chen-cong;CHEN Jia-zeng;YANG Ting;ZHOU Rui-yi(Department of Nursing,the Fourth People’s Hospital of Zigong,Zigong 643000,China;College of Nursing,Southwest Medical University,Luzhou 646000,China)

机构地区：[1]自贡市第四人民医院护理部,四川省自贡市643000 [2]西南医科大学护理学院,四川省泸州市646000

出　　处：《实用老年医学》2023年第1期56-61,共6页Practical Geriatrics

基　　金：2020年四川省卫健委普及应用项目(20PJ175);2022年度自贡市哲学社会科学规划课题(2022-34);2019年自贡市卫健委科研项目(19zd006)。

摘　　要：目的探讨幽默疗法缓解老年人心理问题的效果,为心理疾病病人临床辅助治疗提供参考。方法采用计算机检索维普数据库(VIP)、万方数字化期刊全文数据库、中国知网全文数据库(CNKI)、Wiley Online Library、PubMed、Web of Science、EBSCO从建库至2021年12月30公开发表的文献。收集所有幽默疗法对缓解老年人焦虑、抑郁等心理问题效果分析的随机、半随机对照试验。研究者独立按纳入和排除标准筛选文献,评价纳入研究的偏倚风险后,提取有效数据并采用RevMan 5.3软件对结果进行Meta分析,对于不能合并的数据仅进行描述性评价。结果共纳入8个随机对照试验,共587例。幽默疗法与常规干预或空白对照相比,抑郁评分(SMD=-0.76,95%CI:-1.04~-0.27,Z=5.46,P<0.01)、孤独评分(SMD=-1.43,95%CI:-2.58~-0.28,Z=2.43,P<0.05)和生活质量评分(SMD=0.77,95%CI:0.45~1.09,Z=4.68,P<0.01)差异均有统计学意义。结论幽默疗法能有效缓解老年人抑郁、焦虑和孤独状况,提高其生活质量,对心理疾病治疗具有重要作用,值得推广。Objective To explore the effects of humor therapy in alleviating the psychological problems of the elderly,and to provide reference for the clinical adjuvant treatment for the patients with mental diseases.Methods VIP database,Wanfang Digital Journal Full-text Database,CNKI full-text database,Wiley Online Library,PubMed,Web of Science,EBSCO were searched for the literatures published from the establishment of the database to December 30,2021.All randomized and semi-randomized controlled trials were conducted to analyze the effects of laughter therapy or humor therapy on alleviating anxiety,depression and other psychological problems in the elderly.Revman 5.3 software was used to conduct meta-analysis.Results Eight randomized controlled trials with a total of 587 cases were enrolled in this study.Compared with conventional intervention or blank control,humor therapy was significantly associated with depression score(SMD=-0.76,95%CI:-1.04--0.27,Z=5.46,P<0.001),loneliness score(SMD=-1.43,95%CI:-2.58--0.28,Z=2.43,P<0.05)and quality of life score(SMD=0.77,95%CI:0.45-1.09,Z=4.68,P<0.001).Conclusions Humor therapy can effectively alleviate the depression,anxiety and loneliness of the elderly and improve their quality of life.It plays an important role in the treatment of mental diseases and is worth popularizing.

关 键 词：微笑疗法 幽默疗法 抑郁 焦虑 心理疾病 系统评价 

分 类 号：R943[医药卫生—药剂学]