未经授权:在老年和疾病的交汇处,患有危及生命的疾病(LTI)的老年人是经常表现出韧性并寻求生命验证的群体,接受,结合过去和现在,即使在害怕失去的情况下,痛苦,生活逆境引发的死亡。生活回顾已经广泛进行,以帮助老年人提高福祉和应对负担。灵性是老年人整体幸福感的重要组成部分,尤其是那些有LTI的人。然而,很少有综述研究对这一人群的精神心理结局进行生活回顾干预的有效性进行研究.该研究的目的是检查生活回顾对患有LTI的老年人的精神心理健康的有效性。
UNASSIGNED:根据Cochrane协作组的建议,进行了系统评价和荟萃分析。数据库搜索包括PubMed、PsycINFO,Cochrane图书馆,坎贝尔图书馆,EBSCO,CNKI,以及截至2020年3月的Airiti图书馆。还搜索并审查了相关文章的灰色文献和参考文献列表。
未经批准:总共,34项研究纳入了抑郁症结局的系统评价和荟萃分析(n=24),生活质量(QOL)(n=10),焦虑(n=5),生活满意度(n=3),心情(n=3),冷漠(n=2),和一般幸福感(n=2)。其他精神心理结果测量包括灵性,自尊,生活的意义,希望,和一些多维仪器。这些研究在程序设计方面差异很大,内容,格式,长度,还有更多.尽管具有高度异质性,荟萃分析结果表明,标准化的平均差异有利于生活回顾在减少抑郁症,焦虑,负面情绪,与对照组相比,积极情绪和生活质量增加。
UNASSIGNED:本综述呼吁在针对LTI老年人的干预措施中纳入更多的心理-精神福祉措施,以及在未来研究中设计严谨的研究。
UNASSIGNED: At the intersection of old age and illness, older adults with life-threatening illnesses (LTI) are a group who often show resilience and seek validation of life, acceptance, and integration of past and now, even under the fear of loss, suffering, and dying evoked by life adversities. Life review has been widely conducted to help older adults enhance well-being and cope with burdens. Spirituality is an important part of an older adult\' overall well-being, especially for those with LTI. However, few review studies examined the effectiveness of life review interventions on psychospiritual outcomes among this population. The aim of the study was to examine the effectiveness of life review on psychospiritual well-being among older adults with LTI.
UNASSIGNED: A systematic review with meta-analysis following the recommendations of the Cochrane Collaboration was conducted. Database searches included PubMed, PsycINFO, the Cochrane Library, the Campbell Library, EBSCO, CNKI, and the Airiti Library up to March 2020. Gray literature and reference lists from relevant articles were also searched and reviewed.
UNASSIGNED: In total, 34 studies were included in the systematic review and the meta-analysis for outcomes of depression (n = 24), quality-of-life (QOL) (n = 10), anxiety (n = 5), life satisfaction (n = 3), mood (n = 3), apathy (n = 2), and general well-being (n = 2). Other psychospiritual outcome measures included spirituality, self-esteem, meaning in life, hope, and some multi-dimensional instruments. The studies greatly varied in program design, content, format, length, and more. Although with high heterogeneity, meta-analysis results demonstrated standardized mean differences in favor of life review in decreasing depression, anxiety, negative mood, and increasing positive mood and QOL compared with the control group.
UNASSIGNED: This review calls for including more psycho-spiritual well-being measures among interventions for older adults with LTI, as well as studies with rigorous designs in future research.