正念认知对痴呆患者临床干预效果的Meta分析  

Effect of mindfulness cognition on clinical intervention in dementia:a Meta-analysis

作　　者：杨棋涵 贺瑶茜 李婷婷 侯霁芯[3] 林琳[4,5] YANG Qihan;HE Yaoxi;LI Tingting;HOU Jixin;LIN Lin(Nursing Department,Mianyang Traditional Chinese Medicine Hospital,Mianyang 621000,China;Nursing College,Chengdu Medical College,Chengdu 610500,China;Cardiovascular Department,the First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China;School of Elderly Health,Chengdu Medical College,Sichuan Cooperative Innovation Center for Elderly Care and Elderly Health,Chengdu 610500,China;The 8th People's Hospital of Chengdu(Geriatric Hospital of Chengdu Medical College),Chengdu 610081,China)

机构地区：[1]绵阳市中医医院护理部,四川绵阳621000 [2]成都医学院护理学院,四川成都610500 [3]成都医学院第一附属医院心血管科,四川成都610500 [4]成都医学院老年健康学院、四川养老与老年健康协同创新中心,四川成都610500 [5]成都市第八人民医院(成都医学院附属老年医院),四川成都610081

出　　处：《现代医学》2023年第7期975-982,共8页Modern Medical Journal

基　　金：四川省财政补助健康服务业项目(YLZLZ1701)。

摘　　要：目的:系统评价正念认知对老年痴呆患者心理健康和生活质量、认知功能的影响。方法:系统检索中国知网、维普数据库、万方数据库、中国生物医学文献数据库、PubMed、EMbase、Web of Science、The Cochrane Library中与正念认知对老年痴呆患者心理健康和生活质量、认知功能影响相关的试验,检索时限为建库至2023年2月1日。由2名研究员根据纳入和排除标准独立进行文献筛选、数据提取并进行质量评价,使用RevMan 5.4软件进行Meta分析。结果:共纳入13篇文献,包括748例病人。Meta分析结果显示,正念认知可以改善抑郁情况(MD=-1.40,95%CI-1.90~-0.90,Z=5.51,P<0.000 01)、减轻压力(MD=-2.73,95%CI-3.44~-2.03,Z=7.62,P<0.000 01),对焦虑(MD=-0.47,95%CI-1.05~0.11,Z=1.58,P=0.12)、生活质量(MD=0.53,95%CI-0.38~1.44,Z=1.14,P=0.25)、认知功能(SMD=1.54,95%CI-1.67~4.74,Z=0.94,P=0.35)无统计学意义。结论:现有证据表明,与常规护理相比,正念认知在改善患者抑郁、压力方面效果更佳。Objective:To systematically evaluate the effects of mindfulness cognition on mental health,quality of life and cognitive function of patients with senile dementia.Methods:The tests related to the influence of mindfulness cognition on mental health,quality of life and cognitive function of senile dementia patients were systematically searched on CNKI,Vip,Wanfang,Chinese Biomedical Literature Database,PubMed,EMbase,Web of Science,The Cochrane Library.The search time was from the establishment of the database to October 20,2022.Two researchers independently performed literature screening,data extraction and quality evaluation according to inclusion and exclusion criteria and used RevMan 5.4 software for meta analysis.Results:Totally 13 articles were included,including 748 patients.Meta analysis results showed that mindfulness cognition could improve depression(MD=-1.40,95%CI-1.90~-0.90,Z=5.51,P<0.0001),reduce stress(MD=-2.73,95%CI-3.44~-2.03,Z=7.62,P<0.0001),anxiety(MD=-0.47,95%CI-1.05~0.11,Z=1.58,P=0.12),quality of life(MD=0.53,95%CI-0.38~1.44,Z=1.14,P=0.25),cognitive function(SMD=1.54,95%CI-1.67~4.74,Z=0.94,P=0.35)had no statistical significance.Conclusion:The existing evidence shows that mindfulness cognition is better than routine nursing in improving depression and stress of patients.

关 键 词：正念认知 痴呆 心理健康 生活质量 认知功能 META分析 

分 类 号：R473.5[医药卫生—护理学]