基于ICD-11和ICF主动式音乐疗法改善认知障碍老年人认知功能的系统综述

Effect of active music therapy on cognitive function for older adults with cognitive impairment:a systematic review based on ICD-11 and ICF

目的基于《国际疾病分类第十一次修订本》(ICD-11)和《国际功能、残疾和健康分类》(ICF)系统综述主动式音乐疗法对认知障碍老年人认知功能的干预效果。方法构建PICO架构,采用主题词检索法,在PubMed、Web of Science、Embase、中国知网、维普和万方数据库检索采用主动式音乐疗法对认知障碍老年人认知功能进行干预的相关文献,发表时间为建库至2023年11月5日。筛选文献并提取作者、国家、发表时间、样本特征、研究方法、干预方式、测量工具和干预效果等文献特征,采用物理治疗证据数据库(PEDro)量表进行方法学质量评价,并进行系统综述。结果最终纳入8篇文献,来自6个国家。研究设计均为随机对照试验,共356例参与者,包括轻度认知障碍和痴呆老年人。文献发表时间集中在2014年至2020年,PEDro量表平均分为7.4分。所采用的干预方式为歌唱和演奏乐器。干预场所涉及医院、疗养院、健康中心。干预时长多数为每次30~60 min,少数为每次120 min。每周多为1~3次,持续8~12周。健康结局集中于认知功能方面,主要表现为改善整体认知功能、执行功能、注意功能和记忆功能。结论基于ICD-11和ICF构建了主动式音乐疗法对认知障碍老年人认知功能效益的理论架构。主动式音乐疗法有助于改善认知障碍老年人的整体认知功能、执行功能、注意功能和记忆功能。

Objective To conduct a systematic review of the effect of active music therapy on cognitive function for older adults with cognitive impairment based on International Classification of Diseases,the 11th Revision(ICD-11),and International Classification of Functioning,Disability and Health(ICF).Methods A PICO framework was constructed.Thematic keyword searches were conducted in databases including PubMed,Web of Science,Embase,CNKI,VIP,and Wanfang data,for literature on the effect of active music therapy on cognitive function for older adults with cognitive impairment,published up to November 5th,2023.Information on authors,countries,publication date,sample characteristics,study designs,intervention methods,measurement tools and outcomes were extracted.The methodological quality of the researches was evaluated using the Physiotherapy Evidence Database(PEDro)scale.Results Eight researches from six countries were included,which were all randomized controlled trials involving 356 older adults with mild cognitive impairment and dementia.The articles were published from 2014 to 2020,with an average of 7.4 of the PEDro scale.Active music therapy was used by singing and playing instruments.Interventions took place in hospitals,nursing homes,and health centers.The intervention duration ranged from mostly 30 to 60 minutes a time,with a few 120 minutes a time.Interventions were implemented mostly one to three times a week,lasting from eight to twelve weeks.Health outcomes focused on cognitive function,including overall cognitive function,executive function,attention function and memory function.Conclusion A theoretical framework for the benefits of active music therapy on the cognitive function for older adults with cognitive impairment has been constructed based on ICD-11 and ICF.Active music therapy can improve overall cognitive function,executive function,attention function and memory function for older adults with cognitive impairment.