目的:回忆干预已被广泛用于改善痴呆症患者的心理健康。然而,对于认知完整和轻度认知障碍的老年人,团体回忆干预的有效性存在不确定性.基于我国老年人数量多、医疗卫生资源紧张的现状,我们对认知完整或轻度认知障碍的老年人采用集体怀旧干预措施的有效性的证据进行了系统评价.
方法:从开始到2022年8月21日检索了五个英文数据库。通过使用Cochrane偏差风险量表或标准(2020)和澳大利亚循证医疗保健中心(2020)评估纳入的文章的质量。提取与研究相关的数据和干预特征。
结果:包括24篇文章,其中8项为准实验研究,16项为随机对照研究。整体研究质量较高,但是大多数研究并没有使参与者失明。团体回忆干预措施有利于改善认知完整或轻度认知障碍的老年人的抑郁症状和生活满意度,但对生活质量的影响尚无有效结论。
结论:团体回忆干预是改善老年人心理健康的一种有效的心理干预方式。此外,团体回忆干预措施简单易行,可视为满足认知完整和轻度认知受损老年人精神需求的常规护理活动.
Reminiscence interventions have been extensively used to improve the psychological health of people with dementia. However, there is uncertainty about the effectiveness of group reminiscence interventions for older adults with intact cognition and mild cognitive impairment. Based on the large number of older adults and strained health care resources in
China, we conducted a systematic review of the evidence on the effectiveness of group reminiscence interventions for older adults with intact cognition or mild cognitive impairment.
Five English databases were searched from inception to 21 August 2022. The quality of the included articles was assessed by using the Cochrane Risk of Bias Scale or Criteria (2020) and the Australian Evidence-Based Health Care Centre (2020). Data related to study and intervention characteristics were extracted.
Twenty-four articles were included, of which eight were quasiexperimental studies and sixteen were randomized controlled studies. The overall study quality was high, but most studies did not blind the participants. Group reminiscence interventions were beneficial in improving depressive symptoms and life satisfaction in older adults with intact cognition or mild cognitive impairment, but no valid conclusions could be drawn about the effect on quality of life.
Group reminiscence interventions are an effective type of psychological intervention to improve the psychological health of older people. In addition, group reminiscence interventions are simple and easy to implement and can be considered a routine care activity to meet the spiritual needs of cognitively intact and mildly cognitively impaired older people.