情绪导向治疗对痴呆症患者行为和认知结果的比较有效性:一个网络元分析
Chiao-Ling Lin1, Ruey Chen2, Chien-Mei Sung3
1School of Nursing (C-LL, RC, P-YS, HA, J-YY, L-FC, K-RC), College of Nursing, Taipei Medical University, Taipei, Taiwan.
概括
这项研究比较了痴呆症的情感导向疗法,发现模拟存在疗法对痴呆症患者的认知功能和情绪障碍最有效. 多感官刺激最好解决行为障碍.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
背景情况:
- 面向情感的疗法在痴呆症护理方面表现有前途.
- 它们对行为和认知结果的比较有效性尚未得到充分证实.
- 本研究通过比较五种特定疗法来弥补这一差距.
研究的目的:
- 为了比较模拟存在治疗,多感官刺激,回忆疗法,验证疗法和支持性心理治疗的有效性.
- 评估它们对痴呆症 (PwD) 患者行为障碍和认知功能的影响.
主要方法:
- 在八个主要数据库中进行系统的文献搜索.
- 50项研究 (4,533个PWD) 的频率主义随机效应元分析.
- 用于效果大小和排名的标准化平均差异 (SMD) 和P分数.
主要成果:
- 模拟存在疗法显著改善了情绪,兴奋和认知功能.
- 多感官刺激对整体行为障碍产生了最强烈的影响.
- 当干预措施在机构环境中进行时,更有效,为12周以下,以及单独进行时.
结论:
- 为选择以情感为导向的痴呆症疗法提供基于证据的指导.
- 支持临床决策,通过将治疗方法与特定症状配置文件相匹配.
- 强调实施格式和设置对于干预有效性的重要性.
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