团体怀旧治疗对老年抑郁患者干预效果的Meta分析.pdfVIP

论 著 Research Paper 团体怀旧治疗对老年抑郁患者干预效果的 Meta分析 王亚静 吴灵君 [ 摘 要] 目的：评价团体怀旧治疗对老年抑郁的疗效。方法：采用Meta 分析的办法，检索多个中英文数据库，搜集相关 临床随机对照试验和半随机对照试验，进行文献质量评价后，采用RevMan 5.0 软件进行数据分析。结果：共纳入10 篇文献， 团体怀旧干预组在干预结束时及结束后3 个月的抑郁程度显著低于对照组（P0.01），但在治疗结束6 个月时，患者的抑郁程度 与对照组相比无统计学差异（P=0.14）；与对照组相比，团体怀旧治疗能明显提高老年抑郁患者的自尊和生活满意度（P0.01）。 结论：团体怀旧治疗对老年抑郁患者抑郁症状改善的近期疗效显著，但其远期疗效欠佳。另外团体怀旧治疗在提高老年抑郁患 者自尊情况和生活满意度上显示出优越性。但由于文中纳入的随机对照研究较少，确切结果仍有待于临床开展多中心、大样本 随机对照试验来证实。 [ 关键词 ] 团体怀旧；老年抑郁；Meta分析 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2015.02.014 Effects of group reminiscence on geriatric depression: a Meta analysis / WANG Yajing, WU Lingjun// Neurology department, Taizhou Hospital of Zhejiang Province, 317000 China /// Chinese Nursing Management-2015,15(2): 168-172 [Abstract] Objective: To evaluate the effectiveness of group reminiscence on geriatric depression patients. Methods: Published and unpublished RCT and quasi-RCT that assessed the effects of group reminiscence for geriatric depression patients were systematically reviewed using multiple electronic databases. Relative risks for dichotomous data and a weighted mean difference for continuous data were calculated with 95% confidence intervals. Results: A total of ten trials were included. The results of Meta-analysis showed: Compared with the control group, the intervention of group reminiscence could significantly relive the symptoms of depression at the end of the invention and three months after the invention (P0.01), but the advantage disappeared six months after the invention (P=0.14). The intervention of group reminiscence could significantly improve self- esteem and life satisfaction (P0.01). Conclusion: Group reminiscence is associated with short-term effects of depression relief among geriatric depression patients and the intervention of group reminisce