PDF(Pubmed)
Abstract：
Dementia has a significant impact on the social, physical, and psychological wellbeing of people living with dementia, their families and society. Animal-assisted interventions can have positive effects on the health and wellbeing of people living with dementia. Equine-assisted services are animal-assisted non-pharmacological interventions which have improved the health and wellbeing of diverse populations. The impact of participating in equine-assisted services on the health and wellbeing of people with dementia is unclear. A systematic review was conducted to synthesise evidence investigating the effects of participating in equine-assisted services on the health and wellbeing of people living with dementia.
Systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
The databases CINAHL, EMBASE, MEDLINE, and Web of Science were searched for any research published prior to 14 June 2023. Peer-reviewed publications in the English language utilizing methods deriving quantitative and/or qualitative data were eligible. Methodological quality of included studies was assessed using the Mixed Methods Appraisal Tool. Findings from studies were synthesised using a deductive approach.
Of the 223 articles screened, six met the inclusion criteria: four quantitative and two qualitative studies. The six studies represent four separate equine interventions. Studies were of moderate to strong quality. Participants were people living with dementia (n = 44, mean age range 70-83 years), dementia care partners (n = 5, mean age 58), and equine-assisted services providers (n = 5). Interventions varied in duration, activities conducted, outcomes measured, and measurement tools used. Studies found a favourable impact of participating in equine-assisted services on the neuropsychiatric symptoms and quality of life of people living with dementia. Participating in equine-assisted services improved well-being, functional abilities, social participation, and communication, while also having a positive effect on social, emotional, and behavioural outcomes, and physical health.
The limited but high-quality literature investigating the impact of equine-assisted services among people living with dementia suggests that equine-assisted services can have a positive impact on the health and wellbeing of people living with dementia. Additional robust studies contributing to the evidence base are warranted; such studies can support the development of programs and further elucidate the impact of participation.
Systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
The databases CINAHL, EMBASE, MEDLINE, and Web of Science were searched for any research published prior to 14 June 2023. Peer-reviewed publications in the English language utilizing methods deriving quantitative and/or qualitative data were eligible. Methodological quality of included studies was assessed using the Mixed Methods Appraisal Tool. Findings from studies were synthesised using a deductive approach.
Of the 223 articles screened, six met the inclusion criteria: four quantitative and two qualitative studies. The six studies represent four separate equine interventions. Studies were of moderate to strong quality. Participants were people living with dementia (n = 44, mean age range 70-83 years), dementia care partners (n = 5, mean age 58), and equine-assisted services providers (n = 5). Interventions varied in duration, activities conducted, outcomes measured, and measurement tools used. Studies found a favourable impact of participating in equine-assisted services on the neuropsychiatric symptoms and quality of life of people living with dementia. Participating in equine-assisted services improved well-being, functional abilities, social participation, and communication, while also having a positive effect on social, emotional, and behavioural outcomes, and physical health.
The limited but high-quality literature investigating the impact of equine-assisted services among people living with dementia suggests that equine-assisted services can have a positive impact on the health and wellbeing of people living with dementia. Additional robust studies contributing to the evidence base are warranted; such studies can support the development of programs and further elucidate the impact of participation.
摘要：
背景：痴呆症对社会，物理，和痴呆症患者的心理健康，他们的家庭和社会。动物辅助干预措施可以对痴呆症患者的健康和福祉产生积极影响。马辅助服务是动物辅助的非药物干预措施，改善了不同人群的健康和福祉。参与马辅助服务对痴呆症患者的健康和福祉的影响尚不清楚。进行了系统评价，以综合研究参与马辅助服务对痴呆症患者健康和福祉的影响的证据。
方法：系统评价遵循系统评价和荟萃分析（PRISMA）指南的首选报告项目。
方法：数据库CINAHL，EMBASE,MEDLINE,和WebofScience搜索了2023年6月14日之前发表的任何研究。使用获取定量和/或定性数据的方法的英语同行评审出版物符合资格。使用混合方法评估工具评估纳入研究的方法学质量。使用演绎方法综合研究结果。
结果：在筛选的223篇文章中，6项符合纳入标准:4项定量研究和2项定性研究.六项研究代表了四项独立的马干预措施。研究质量中等到强。参与者是痴呆症患者（n=44，平均年龄70-83岁），痴呆症护理伙伴（n=5，平均年龄58岁），和马辅助服务提供商(n=5)。干预的持续时间各不相同，开展的活动,测量的结果，和使用的测量工具。研究发现，参与马辅助服务对痴呆症患者的神经精神症状和生活质量有有利影响。参与马辅助服务改善了福祉，功能能力，社会参与,和沟通,同时也对社会产生积极影响，情感,和行为结果，和身体健康。
结论：研究马辅助服务对痴呆症患者的影响的有限但高质量的文献表明，马辅助服务可以对痴呆症患者的健康和福祉产生积极影响。有助于证据基础的其他强有力的研究是必要的；这些研究可以支持项目的发展，并进一步阐明参与的影响。
方法：系统评价遵循系统评价和荟萃分析（PRISMA）指南的首选报告项目。
方法：数据库CINAHL，EMBASE,MEDLINE,和WebofScience搜索了2023年6月14日之前发表的任何研究。使用获取定量和/或定性数据的方法的英语同行评审出版物符合资格。使用混合方法评估工具评估纳入研究的方法学质量。使用演绎方法综合研究结果。
结果：在筛选的223篇文章中，6项符合纳入标准:4项定量研究和2项定性研究.六项研究代表了四项独立的马干预措施。研究质量中等到强。参与者是痴呆症患者（n=44，平均年龄70-83岁），痴呆症护理伙伴（n=5，平均年龄58岁），和马辅助服务提供商(n=5)。干预的持续时间各不相同，开展的活动,测量的结果，和使用的测量工具。研究发现，参与马辅助服务对痴呆症患者的神经精神症状和生活质量有有利影响。参与马辅助服务改善了福祉，功能能力，社会参与,和沟通,同时也对社会产生积极影响，情感,和行为结果，和身体健康。
结论：研究马辅助服务对痴呆症患者的影响的有限但高质量的文献表明，马辅助服务可以对痴呆症患者的健康和福祉产生积极影响。有助于证据基础的其他强有力的研究是必要的；这些研究可以支持项目的发展，并进一步阐明参与的影响。
