动物辅助干预对老年认知障碍影响的系统评价  

Impact of animal-assisted interventions on cognitive impairment in the elderly:a systematic review

作　　者：杨子江 康华[1] YANG Zijiang;KANG Hua(School of Nursing,Chengdu University of Traditional Chinese Medicine,Sichuan 610075 China)

机构地区：[1]成都中医药大学护理学院,四川610075

出　　处：《循证护理》2024年第13期2306-2310,共5页Chinese Evidence-Based Nursing

摘　　要：目的:系统评价动物辅助干预对老年认知障碍的影响。方法:检索中国知网(CNKI)、万方数据库、维普数据库(VIP)和PubMed、EMbase、the Cochorane Library、Web of Science中关于动物辅助干预应用于老年认知障碍病人的文献,检索时限为建库至2023年6月26日。由2名研究员独立筛选文献并提取相关数据,采用RevMan软件进行Meta分析。结果:共纳入9篇相关文献,涉及796例老年认知障碍病人。Meta分析结果显示,动物辅助干预可以改善老年认知障碍的抑郁症状[SMD=-1.21,95%CI(-1.79,-0.63),P<0.0001]、激越症状[MD=-4.66,95%CI(-5.48,-3.84),P<0.01]及认知功能[MD=1.31,95%CI(1.21,1.41),P<0.01]。结论:当前证据表明,动物辅助治疗有助于改善老年认知障碍病人的抑郁、激越症状及认知功能,由于该研究结局与既往研究有部分结果不一致及纳入文献有限,仍需更多高质量的研究验证和补充。Objective:To systematically review the impact of animal-assisted interventions on cognitive impairment in the elderly.Methods:Literature on the application of animal-assisted interventions to elderly patients with cognitive impairment was retrieved from CNKI,WanFang Database,VIP,PubMed,EMbase,the Cochorane Library,and Web of Science,from the establishment of databases to June 26,2023.Two researchers independently screened the literature and extracted relevant data.The Meta-analysis was conducted using RevMan software.Results:A total of 9 relevant documents were included,involving 796 cases of elderly patients with cognitive impairment.Meta-analysis results showed that animal-assisted interventions could improve depressive symptoms(SMD=-1.21,95%CI-1.79--0.63,P<0.0001),agitation symptoms(MD=-4.66,95%CI-5.48--3.84,P<0.01),and cognitive function(MD=1.31,95%CI 1.21-1.41,P<0.01).Conclusions:Existing evidence shows that animal-assisted interventions can help improve depression,agitation symptoms,and cognitive functions in elderly patients with cognitive impairment.Since this study′s results are inconsistent with previous studies and the included articles are limited,more high-quality studies are still needed for validation and supplementation.

关 键 词：动物辅助干预 老年人 认知障碍 系统评价 护理 

分 类 号：R473.74[医药卫生—护理学]