护理SCI晨读:早期痴呆症在线记忆训练干预:系统评价和荟萃分析

2020
12/29

+
分享
评论
Rockyou
A-
A+

评估在线记忆训练干预措施在改善早期痴呆患者记忆方面的有效性。次要结果包括认知和心理结果。

SCI护理研究晨读:

早期痴呆症在线记忆训练干预:系统评价和荟萃分析


 

 


 

 



摘要

目标

评估在线记忆训练干预措施在改善早期痴呆患者记忆方面的有效性。次要结果包括认知和心理结果。

设计

根据《 Cochrane干预措施系统评价手册》进行系统评价。

数据源

对6个数据库(2000年至2020年)进行了全面检索,包括PubMed,Embase,Cochrane,CINAHL,Scopus和Web of Science。

评价方法

纳入本评价的人群包括临床诊断为早期痴呆症并参与在线记忆训练干预措施的成年人。两位评价者通过Cochrane协作工具评估了偏倚的风险,并进行了荟萃分析。

结果

根据GRADE方法,从六个数据库中检索出的11项随机对照试验显示证据质量处于中低水平。荟萃分析表明,在线记忆训练干预措施在改善记忆结果方面显示出中等程度的效果(d = 0.57;95%置信区间0.28-0.85;p  = 0.0001)。此外,此类干预措施已显示出认知和心理的次要结果有所改善,影响程度从中到小不等。每次在线记忆训练的持续时间及其频率均不会影响记忆结果。与针对团体进行的常规面对面干预相比,针对个人环境进行干预更为有效。

结论

在线记忆训练干预可以有效改善痴呆症患者的记忆。

影响力

记忆干预有望减少因记忆力减退引起的日常问题并改善健康状况。由于资源有限和因大流行而导致的社交聚会受限等因素,本综述可为规划痴呆症成人的在线记忆训练干预措施时,为临床决策者提供相关信息。

 


 

 


英文摘要

Objectives

To evaluate the effectiveness of online memory training interventions in improving memory of patients diagnosed with early‐stage dementia. The secondary outcomes comprised cognitive and psychological outcomes.

Design

This review was conducted for accordance to the Cochrane Handbook for Systematic Reviews of Interventions.

Data source

A comprehensive search from six electronic databases: PubMed, Embassy, The Cochrane Library, The Cumulative Index to Nursing and Allied Health Literature, Scopus and Web of Science was conducted (2000–2020).

Review methods

The populations included in this review comprised adults who had been clinically diagnosed with early‐stage dementia and involved in online memory training interventions. Two reviewers appraised the risks of bias through the Cochrane Collaboration's tool and performed the meta‐analysis, including the assessment of heterogeneity.

Results

Eleven randomized controlled trials retrieved from six databases demonstrated low to moderate levels of quality of evidence according to the GRADE approach. The meta‐analysis revealed that online memory training interventions have demonstrated a moderate effect size in improving memory outcomes (d = 0.57; 95% confidence interval 0.28‐0.85; p = 0.0001). Additionally, such interventions have shown improvements in secondary outcomes of cognition and psychological with small to medium effects. Duration of each online memory training session and its frequencies did not affect the memory outcome. As opposed to the conventional face‐to‐face interventions conducted for a group, it is more effective to be conducted for an individual setting.

Conclusions

Online memory training intervention was effective in improving the memory for adults with dementia.

Impact

Memory interventions have the prospect of reducing everyday problems caused by lapses in memory and improving well‐being. With factors such as limited resources and restriction of social gathering due to pandemic, this review could offer relevant information for clinical decision‐makers when planning online memory training interventions for adults with dementia.

 

原文链接:

https://onlinelibrary.wiley.com/doi/full/10.1111/jan.14664



 

 


本文由作者自行上传,并且作者对本文图文涉及知识产权负全部责任。如有侵权请及时联系(邮箱:nanxingjun@hmkx.cn
关键词:
早期痴呆症,SCI,干预,护理,训练,措施

人点赞

收藏

人收藏

打赏

打赏

我有话说

0条评论

0/500

评论字数超出限制

表情
评论

为你推荐

推荐课程


社群

精彩视频

您的申请提交成功

确定 取消
剩余5
×

打赏金额

认可我就打赏我~

1元 5元 10元 20元 50元 其它

打赏

打赏作者

认可我就打赏我~

×

扫描二维码

立即打赏给Ta吧!

温馨提示:仅支持微信支付!