个体认知刺激疗法对痴呆患者心理健康干预效果的系统评价
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Effectiveness of individual cognitive stimulation therapy on mental health of dementia patients: a systematic review
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    摘要:

    目的 系统评价个体认知刺激疗法对痴呆患者心理健康的干预效果。方法 按照循证医学的原则和方法,计算机检索中国知网、维普、万方、中国生物医学文献数据库、PubMed、Embase、CINAHL、Web of Science、Cochrane Library和APA PsycNet数据库,查找关于个体认知刺激疗法对痴呆患者心理健康干预效果的随机对照试验,检索时限自建库至2021年4月。由2名研究人员按照纳入和排除标准独立文献筛选、资料提取和质量评价,采用RevMan5.3软件对纳入的数据进行分析。结果 共纳入8篇RCT研究,共1 324例研究对象。Meta分析结果显示,与对照组相比,个体认知刺激能够减轻痴呆患者精神行为症状(P<0.01)。亚组分析显示,与家庭照顾者实施3~6个月的个体认知刺激相比较,专业照顾者实施3个月以内的个体认知刺激对痴呆患者精神行为症状的改善更显著(P<0.01)。结论 由专业照顾者实施的个体认知刺激较家庭照顾者更能有效缓解痴呆患者的精神行为症状。

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    Objective To systematically evaluate the effect of individual cognitive stimulation therapy on mental health of dementia patients. Methods According to the principles and methods of evidence-based medicine, Chinese and English databases such as CNKI, VIP, Wanfang, Chinese Biomedical Literature Database, PubMed, Embase, CINAHL, Web of Science, Cochrane Library and APA PsycNet were searched using computer about randomized controlled trials on the effect of individual cognitive stimulation therapy on mental health in patients with dementia, from database establishment to April 2021. Two researchers independently screened the literature according to the inclusion and exclusion criteria, extracted the data and evaluated the quality. RevMan5.3 software was used to analyze the included data. Results A total of 8 RCTs with 1324 subjects were included. The results of meta-analysis showed that, compared with the control group, individual cognitive stimulation could reduce the psychobehavioral symptoms of dementia patients (P<0.01). Subgroup analysis showed that, compared with family caregivers who implemented individual cognitive stimulation for 3-6 months, professional caregivers who implemented individual cognitive stimulation for less than 3 months had more significant improvement on mental and behavioral symptoms of dementia patients (P<0.01). Conclusion Individual cognitive stimulation conducted by professional caregivers is more effective than by family caregivers in alleviating mental and behavioral symptoms of dementia patients.

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陈海雯,宋洁,鹿笑寒,刘霖,姜倩倩,李娜.个体认知刺激疗法对痴呆患者心理健康干预效果的系统评价[J].护理学杂志,2021,36(24):72-76

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  • 收稿日期:2021-07-12
  • 最后修改日期:2021-08-20
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  • 在线发布日期: 2022-09-16