动物辅助干预在老年抑郁人群中应用现状的范围综述  

Animal-assisted interventions in geriatric depression:a scoping review

作　　者：严懿 吴冬梅 叶子翔 詹维希 Yan Yi;Wu Dongmei;Ye Zixiang;Zhan Weixi(College of Nursing,Zunyi Medical University,Zunyi 563000,China;Chengdu Fourth People's Hospital,Chengdu 610036,China;The Clinical Hospital of Chengdu Brain Science Institute,University of Electronic Science and Technologyof China,Chengdu 610036,China)

机构地区：[1]遵义医科大学护理学院,贵州遵义563000 [2]成都市第四人民医院,四川成都610036 [3]电子科技大学成都脑科学研究院临床医院,四川成都610036

出　　处：《四川精神卫生》2024年第4期386-390,共5页Sichuan Mental Health

基　　金：国家自然科学基金(项目名称:整合性怀旧对老年女性抑郁症状影响的神经机制研究,项目编号:82001444)。

摘　　要：背景老年抑郁是老年人群常见的精神问题。动物辅助干预(AAI)有助于治疗精神疾病,但其在老年抑郁群体中的应用效果存在争议。目的对AAI缓解老年抑郁的研究现状进行综述,为制定老年抑郁人群的AAI方案提供参考。方法根据Arksey范围综述方法确定问题,于2023年4月16日,检索中国知网、维普数据库、万方医学网、中国生物医学文献数据库、Web of Science、PubMed、CINAHL、Cochrane Library、Embase,收集AAI与老年抑郁相关的文献,检索时限为建库至2023年4月15日。由经过统一培训的两名研究者独立进行文献筛选,并提取纳入文献的基本信息。结果共纳入13篇文献。进行AAI的场所包括养老院、医院、社区、日间照护中心、住宅;干预内容包括抚摸动物和对动物命名、与动物进行言语互动、与动物玩游戏、与治疗师对话、学习饲养动物。AAI有助于改善老年抑郁人群的社会交往和沟通能力、带来积极的情感体验,提高生活满意度等,但其对认知功能的改善效果存在争议。结论AAI可能有助于改善老年抑郁人群的负性情绪和抑郁症状。Background Geriatric depression is a common psychiatric problem among older adults.Animal-assisted interventions(AAI)can aid in the treatment of psychiatric disorders,but their effectiveness in geriatric depression remains controversial.Objective To provide an overview of the current research on AAI in alleviating geriatric depression,in order to provide references for developing AAI programs for this population.Methods Based on Arksey's scoping review method,a comprehensive literature search was conducted on April 16,2023.The databases searched included China Knowledge Network,VIP,Wanfang Medical Network,China Biomedical Literature Database,Web of Science,PubMed,CINAHL,Cochrane Library and Embase.The search aimed to collect studies related to AAI and geriatric depression from the inception of each database until April 15,2023.Two trained researchers independently screened the literature and extracted data on basic information.Results A total of 13 studies were included in the final review.AAI settings included nursing homes,hospitals,communities,day care centers and residences.Interventions involved touching and naming the animals,verbally interacting with the animals,playing games with the animals,communicating with the therapists and learning to care for the animals.AAI was found to improve social interaction and communication abilities,bring positive emotional experiences and enhance life satisfaction in geriatric depression.However,its effect on cognitive function improvement was inconclusive.Conclusion AAI can potentially alleviate negative mood and depressive symptoms in geriatric depression.

关 键 词：动物辅助干预 老年抑郁 心理干预 范围综述 

分 类 号：R749.4[医药卫生—神经病学与精神病学]