主观认知下降患者认知干预的证据总结  

Summary of evidence on cognitive interventions for patients with subjective cognitive decline

作　　者：黄颖琪 徐晖[1] 赵燕利[1] 张秋实[1] 王鹏[1] 蔡小雨 王兴娟 HUANG Ying-qi;XU Hui;ZHAO Yan-li;ZHANG Qiu-shi;WANG Peng;CAI Xiao-yu;WANG Xing-juan(College of Nursing and Health,Zhengzhou University,Zhengzhou,Henan 450001,China)

机构地区：[1]郑州大学护理与健康学院,河南郑州450001

出　　处：《现代预防医学》2025年第1期126-131,143,共7页Modern Preventive Medicine

基　　金：国家自然科学基金(72274180)。

摘　　要：目的 总结主观认知下降患者认知干预相关证据。方法 系统检索BMJ Best Practice、JBI、Pub Med、知网等数据库中与主观认知下降患者认知干预相关的证据,包括临床指南、临床决策、系统评价、专家共识、证据总结等,检索时限为建库至2023年12月7日。结果 共纳入12篇文献,包括1篇指南、1篇专家共识、10篇系统评价。从认知干预原则、类型、剂量、形式、地点、内容、辅助措施、评估、实施方法、效果及评价等11个领域总结31条证据。结论 认知干预可改善主观认知下降患者的认知功能及心理健康,医护人员应结合临床情境、患者偏好制定个性化认知干预方案并加以应用。Objective To summarize the evidence related to cognitive interventions for patients with subjective cognitive decline.Methods A systematic search was conducted in databases such as BMJ Best Practice,JBI,PubMed,and CNKI for evidence related to cognitive interventions for patients with subjective cognitive decline,including clinical guidelines,clinical decisions,systematic reviews,expert consensus,and evidence summaries,with a search timeframe from the establishment of the database to December 7,2023.Results A total of 12 articles were included,comprising one guideline,one expert consensus,and 10 systematic reviews.Evidence was summarized across 11 domains,including principles of cognitive intervention,types,dosage,formats,locations,content,auxiliary measures,assessment,implementation methods,effects,and evaluations,resulting in 31 pieces of evidence.Conclusion Cognitive interventions can improve cognitive function and mental health in patients with subjective cognitive decline.Healthcare professionals should develop and apply personalized cognitive intervention plans tailored to clinical contexts and patient preferences.

关 键 词：主观认知下降 认知干预 证据总结 循证医学 

分 类 号：B842.1[哲学宗教—基础心理学]