家庭干预对痴呆患者认知表现的影响:系统性审查和元分析
Xichao Ma1,2, Yu Wang3,4, Xinxin Chen5
1Rehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, China.
Journal of Alzheimer's disease : JAD
|January 13, 2025
概括
基于家庭的干预措施显著提高痴呆症患者的认知功能. 这一发现为改善受认知衰退影响的老年人的生活质量提供了有希望的方法.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 痴呆症,特别是阿尔茨海默病,是老年人群中普遍存在的疾病.
- 痴呆症显著影响患者的功能,给家庭和医疗保健系统带来巨大的负担.
- 家庭培训计划显示出改善痴呆症患者认知功能的潜力.
研究的目的:
- 系统地评估家庭干预对痴呆症患者认知表现的影响和方法.
- 综合来自随机对照试验关于家庭认知训练有效性的证据.
主要方法:
- 一个系统的审查和元分析,遵循PRISMA指南.
- 在六个主要数据库中进行全面的文献搜索,更新至2024年1月.
- 使用RevMan 5.3进行统计分析,计算标准化平均差异和95%置信区间.
主要成果:
- 包括20个随机对照试验,涉及3543名参与者.
- 与对照组相比,家庭干预表明认知表现显著改善 (SMD = 0.45;95% CI [0.17,0.74]).
- 小组分析探讨了基于评估工具,干预持续时间和方法的变化.
结论:
- 中等到高质量的证据支持在家治疗痴呆症患者的疗效.
- 这些干预措施显著提高了痴呆症患者的整体认知功能.
- 基于家庭的方法代表了管理老年人的认知衰退的可行策略.
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