园艺治疗在没有痴呆症的老年人中的有效性:系统性审查和元分析
Thuy Anh Giang1, Jing Ying Cheng2, Hannah Yi Fang Kwok3
1Department of Rehabilitation Services, Khoo Teck Puat Hospital, Singapore, Singapore.
Journal of the American Medical Directors Association
|October 11, 2024
概括
园艺疗法 (HT) 为没有痴呆症的老年人提供心理和身体上的好处,改善自我效能,自尊和有氧耐力. 然而,证据质量较低,需要进一步研究.
科学领域:
- 老年学是指老年学的学科.
- 心理社会健康 心理健康
- 康复科学 康复科学 康复科学
背景情况:
- 园艺疗法 (HT) 已因其心理和身体上的好处而得到认可.
- 以前的评论强调了HT在认知障碍或精神疾病的老年人中的有效性.
- 对于没有痴呆症的老年人,HT对老年人的影响仍未得到充分研究.
研究的目的:
- 系统地审查和综合园艺治疗 (HT) 对没有痴呆症的老年人的身体和心理社会功能的影响.
主要方法:
- 随机对照试验和准实验研究的系统审查和元分析.
- 纳入标准:没有痴呆症的老年人 (≥60岁).
- 使用Cochrane风险偏差工具v2和RoBINS-I进行质量评估;用Hedges的g进行元分析;用Cochran的Q和I2评估异质性;用GRADE评估证据确定性.
主要成果:
- 分析了27项研究 (11项RCT,16项准实验),共有1629名参与者.
- 高血压对心理社会结果产生积极影响,特别是自我效能 (g=0.52) 和自尊 (g=0.52).
- 身体上的好处包括改善有氧耐力 (g=0.84) 和敏捷性 (g=0.45).
结论:
- 园艺治疗 (HT) 对没有痴呆症的老年人具有潜在的心理社会和身体益处.
- 观察到的好处包括自我效能,自尊,有氧耐力和敏捷性的改善.
- 证据的整体质量非常低,强调需要高质量的随机对照试验来确认有效性.
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