在老年痴呆症患者中基于艺术的干预措施的有效性:系统性审查和元分析
Wei Xu1, Guangwei Zhang2, Qian Liu1
1Jilin University School of Nursing, NO. 965 Xinjiang Street, Changchun, Jilin 130021, China.
Psychiatry research
|October 29, 2025
概括
基于艺术的干预措施有望改善痴呆症患者的认知和神经精神症状. 需要进一步的研究来证实对生活质量和特定症状的影响.
科学领域:
- 老年学和认知神经学.
- 精神病学和行为科学
- 创意艺术疗法 创意艺术疗法
背景情况:
- 随着人口老龄化,痴呆症对全球健康构成越来越大的挑战.
- 验证的痴呆症预防和管理策略至关重要.
- 在痴呆症护理中基于艺术的干预措施的有效性需要进行系统的评估.
研究的目的:
- 系统地审查和综合有关老年痴呆症患者的基于艺术的干预措施的证据.
- 评估这些干预措施对认知功能,神经精神病症状和生活质量的影响.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 搜索了六个主要的电子数据库 (PubMed,Cochrane,Scopus,Embase,Web of Science,PsycINFO) 截至2025年9月.
- 主要结果:全球认知;次要结果:神经精神症状 (NPS) 和生活质量 (QoL).
主要成果:
- 基于艺术的干预与全球认知 (SMD = 0.26) 和整体NPS (SMD = -0.43) 的改善有关.
- 在抑郁症 (SMD = -0.40) 中注意到显著改善,但焦虑或兴奋并没有显著改善.
- 没有发现对生活质量的显著影响 (SMD = 0.02).
结论:
- 基于艺术的干预可以为痴呆症的老年人提供认知和神经精神方面的好处.
- 对特定症状领域和生活质量的影响仍然不确定.
- 大规模的多中心RCT是必要的,以确立有效性.
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