怀旧疗法对家庭照顾者照顾负担和情绪影响的meta分析

Effect of reminiscence therapy on care burden and emotion of family caregivers:a meta analysis

目的系统评价怀旧疗法对家庭照顾者照顾负担及情绪的影响。方法计算机检索中国知网(CNKI)、万方数据库、维普中文科技期刊数据库(VIP)、中国生物医学文献数据库(CBM)、PubMed、Web of Science、EMbase、The Cochrane Library数据库,检索时间为建库至2021年7月28日。搜集国内外关于怀旧疗法应用于家庭照顾者的随机对照研究,由两位评价者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,使用Review Manager5.3软件进行meta分析。结果纳入12项随机对照研究(RCTs)。meta分析结果显示,怀旧疗法可减轻家庭照顾者的照顾负担[SMD=-2.35,95%CI(-3.56,-1.14),P<0.001]和悲伤情绪[MD=-6.78,95%CI(-9.29,-4.26),P<0.001],提高其积极感受[MD=10.93,95%CI(8.69,13.17),P<0.001];但在焦虑[SMD=-0.81,95%CI(-3.04,1.42),P=0.48]、抑郁[SMD=-0.89,95%CI(-2.40,0.62),P=0.25]方面的差异无统计学意义。结论怀旧疗法可减轻家庭照顾者的照顾负担和悲伤情绪,提高其积极感受,但对降低家庭照顾者的焦虑、抑郁情绪作用不明显。

Objective To systematically evaluate the effect of reminiscence therapy on the care burden and emotion of the family caregivers.Methods The databases of China National Knowledge Infrastructure(CNKI),Wanfang Data,VIP,China Biomedical Literature Database(CBM),PubMed,Web of Science,Embase and the Cochrane Library were retrieved by computer.The retrieval time was from the database establishment to 28 July 2021.The randomized controlled trials(RCTs)on the application of reminiscence therapy to family caregivers were collected.Two reviewers independently screened the literatures,extracted the data,and assessed the risk of bias of the included studies.Then meta analysis was performed by using the Review Manager5.3 software.Results A total of 12 RCTs were included.The meta analysis results showed that the reminiscence therapy could reduce the care burden[SMD=-2.35,95%CI(-3.56,-1.14),P<0.001]and sadness emotion[MD=-6.78,95%CI(-9.29,-4.26),P<0.001]of family caregivers,improve their positive feelings[MD=10.93,95%CI(8.69,13.17),P<0.001].However,no statistically significant difference in the aspects of anxiety[SMD=-0.81,95%CI(-3.04,1.42),P=0.48]and depression[SMD=-0.89,95%CI(-2.40,0.62),P=0.25]was found.Conclusion The reminiscence therapy can alleviate the care burden and sadness emotion of family caregivers,and improve their positive feelings.However,its effect on alleviating anxiety and depression of family caregivers is unobvious.