临床医生在为认知障碍患者提供小组干预时可以考虑什么:范围审查
Karen P Y Liu1,2,3,4, Mannix Conroy2, Annemieke Clark5
1Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong.
概括
针对认知障碍的小组干预在身体和认知方面的改善中表现出适度的有效性,在心理健康和生活质量方面表现出小幅改善. 盟友卫生诊所应考虑特定的参与者标准和环境因素.
科学领域:
- 盟友健康 盟友健康
- 康复医学 康复医学 康复医学
- 认知科学 认知科学
背景情况:
- 认知障碍给个人和医疗保健系统带来了重大挑战.
- 医疗保健专业人员越来越多地利用群体干预来管理认知障碍.
- 需要综合证据来指导有效的小组干预交付.
研究的目的:
- 进行由相关卫生专业人员提供的认知障碍患者群体干预措施的范围审查.
- 确定这些干预措施在身体,认知,心理和生活质量领域的有效性.
- 概述临床医生为这一群体实施群体干预的关键考虑因素.
主要方法:
- 从2016年开始,使用主要数据库 (MEDLINE,CINAHL,Scopus,Embase,TROVE) 进行了全面的范围审查.
- 纳入标准侧重于由相关卫生专业人员为认知障碍患者进行的小组干预,无论研究设计如何.
- 数据提取包括身体,认知,心理和生活质量的测量;元分析计算了标准化平均变化 (SMC).
主要成果:
- 十篇文章符合纳入标准;没有研究直接比较组与个人干预措施.
- 分析显示,干预后显著改善:身体 (SMC=0.42),认知 (SMC=0.43),心理 (SMC=0.14) 和生活质量 (SMC=0.28).
- 效果大小表明身体和认知领域的效果中等,心理和生活质量领域的效果小.
结论:
- 群体干预在改善认知障碍患者的身体和认知功能方面具有中等效果.
- 在心理健康和生活质量方面观察到微小但显著的改善.
- 临床医生在设计和实施群体干预时,应仔细考虑参与者选择,支持水平,干预修改和环境因素.
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