■以情绪为导向的方法已证明在老年人护理中的有效性。然而,相关研究报告的结果相互矛盾。我们旨在通过对随机对照试验(RCT)的荟萃分析,探讨情绪导向方法对老年人心理结局和认知功能的综合影响。
■我们搜索了八个数据库-CINAHL,科克伦,Embase,OvidMEDLINE,PsycINFO,PubMed,Scopus,和WebofScience-从成立到2024年1月11日的RCT。60岁或以上接受情感导向方法作为干预的参与者,并纳入了研究中感兴趣的报告结局.主要结果是心理结果(抑郁,自尊,生活满意度和孤独),次要结局是整体认知功能。合并效应大小在综合荟萃分析3.0软件中使用Hedges\'g(g)和随机效应模型计算。此外,异质性通过Cochrane的Q和I2检验进行评估。使用Cochrane偏差风险工具评估纳入研究的质量。为了探索异质性的潜在来源,进行了主持人分析。
■我们纳入了37项随机对照试验,发现以情绪为导向的方法可以改善抑郁(g=-0.82,95%CI=-1.08,-0.56),自尊(g=0.98,95%CI=0.31,1.64),生活满意度(g=0.63,95%CI=0.37,0.88),老年人的孤独感(g=-2.22,95%CI=-3.80,-0.64)和整体认知功能(g=0.34,95%CI=0.19,0.49)。我们还观察到对抑郁症(g=-1.40,95%CI=-2.45,-0.34)和孤独感(g=-3.48,95%CI=6.02,-0.94)的显着随访效果。
面向情绪的方法是改善老年人心理结果和整体认知功能的有前途的干预措施。卫生保健工作者应接受培训,以促进并将面向情感的方法纳入老年人的常规护理,强调卫生保健专业人员和护理人员之间的协作努力以确保整体护理的重要性。
UNASSIGNED: Emotion-oriented approaches have demonstrated effectiveness in the care of the elderly. However, related studies have reported conflicting results. We aimed to explore the pooled effect of emotion-oriented approaches on the psychological outcomes and cognitive function of older adults through a meta-analysis of randomised controlled trials (RCTs).
UNASSIGNED: We searched eight databases - CINAHL, Cochrane, Embase, Ovid MEDLINE, PsycINFO, PubMed, Scopus, and Web of Science - for RCTs from inception to 11 January 2024. Participants aged 60 years or older who received emotion-oriented approaches as the intervention, and reported outcomes of interest in the studies were included. The primary outcome was psychological outcomes (depression, self-esteem, life satisfaction and loneliness), and the secondary outcome was global cognitive function. The pooled effect size was computed in comprehensive meta-analysis 3.0 software using Hedges\' g (g) with random-effects model. Furthermore, heterogeneity was assessed through Cochrane\'s Q and I2 tests. The quality of the included studies was evaluated using the Cochrane Risk of Bias tool. To explore potential sources of heterogeneity, moderator analyses were conducted.
UNASSIGNED: We included 37 RCTs and found that emotion-oriented approaches improve depression (g = -0.82, 95% CI = -1.08, -0.56), self-esteem (g = 0.98, 95% CI = 0.31, 1.64), life satisfaction (g = 0.63, 95% CI = 0.37, 0.88), loneliness (g = -2.22, 95% CI = -3.80, -0.64) and global cognitive function (g = 0.34, 95% CI = 0.19, 0.49) in older adults. We also observed significant follow-up effects on depression (g = -1.40, 95% CI = -2.45, -0.34) and loneliness (g = -3.48, 95% CI = 6.02, -0.94).
UNASSIGNED: Emotion-oriented approaches are promising interventions in improving psychological outcomes and global cognitive function in older adults. Health care workers should receive training to promote and integrate emotion-oriented approaches into routine care of older adults emphasising the importance of collaborative efforts among health care professionals and caregivers to ensure holistic care delivery.