减少老年人感知压力的各种干预措施的比较有效性:系统性审查和网络元分析
Mingyue Zhu1, Huimin Chen1, Qing Wang1,2
1School of Nursing, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Worldviews on evidence-based nursing
|February 12, 2025
概括
追忆疗法和运动在减少老年人感知到的压力方面最有效. 运动也有助于抑郁症,而健康教育有助于焦虑. 需要高质量的试验才能得出更有力的结论.
科学领域:
- 老年学是一门学科.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 老年人面临的各种干预措施,感知压力与不一致的结果.
- 对老年人感知到的压力,焦虑,抑郁和皮质醇水平的最佳干预措施需要澄清.
研究的目的:
- 评估针对老年人感知压力的干预措施的有效性.
- 评估对感知压力,抑郁,焦虑和皮质醇水平的影响.
主要方法:
- 系统搜索10个随机对照试验 (RCT) 数据库,直到2024年1月9日.
- 通过使用Review Manager v.5.4和Stata v.16.0.0.进行双向和网络元分析.
主要成果:
- 记忆疗法 (98.6%),运动 (68.1%) 和 (56.1%) 显示出减轻感知压力的承诺.
- 这些干预措施改善了皮质醇水平 (SMD = -0.30; p = 0.01).
- 运动减少了抑郁症 (SMD = -1.84;p = 0.05),健康教育减少了焦虑 (SMD = -0.77;p = 0.03).
结论:
- 干预措施,特别是回忆疗法和运动,有效地减少老年人感知到的压力.
- 运动和健康教育显示出缓解抑郁和焦虑的潜力.
- 需要进一步进行高质量的RCT来巩固研究结果.
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