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...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。展开更多
Generally, the function of vocalizations made by male anurans are to attract females or defend resources. Typically, males vocalize in choruses during one or more periods in a twenty-four-hour cycle, which varies, how...Generally, the function of vocalizations made by male anurans are to attract females or defend resources. Typically, males vocalize in choruses during one or more periods in a twenty-four-hour cycle, which varies, however, among species. Nevertheless, the causal factors influencing circadian variations of calling patterns in anuran species are not clear. In this study, male chorus vocalizations were monitored in the Emei music frog(Babina daunchina) for 17 consecutive days during the breeding season, while its habitat air temperature and relative humidity in the course of experiments were measured as well. The results revealed that the circadian calling patterns were characterized by two periods of peak vocalization, which were observed from 0500 h to 0700 h and from 1300 h to 2000 h, while the lowest activity period was found from 2100 h to 2200 h. Both calls/h and notes/h were positively correlated with air temperature and negatively with relative humidity. Overall, our data indicate that the Emei music frogs(B. daunchina) could regulate their vocal activities based on the changes of physical micro-environment(e. g., temperature or humidity) to maximize reproductive success.展开更多
目的综合评价非药物干预对心脏大血管手术患者术后谵妄的影响,为选择最佳干预措施提供参考。方法计算机检索中国生物医学文献服务系统、中国知网、万方数据库、维普数据库、PubMed、Web of Science、Cochrane Library、Embase和Scopus...目的综合评价非药物干预对心脏大血管手术患者术后谵妄的影响,为选择最佳干预措施提供参考。方法计算机检索中国生物医学文献服务系统、中国知网、万方数据库、维普数据库、PubMed、Web of Science、Cochrane Library、Embase和Scopus数据库,检索时限为建库至2022年3月,收集不同非药物干预对心脏大血管手术患者术后谵妄影响的随机对照研究。由2名研究者独立筛选文献、提取资料并进行文献质量评价,运用Stata 16.0软件进行网状Meta分析。结果共纳入16项研究,总样本量为2011例。网状Meta分析结果显示,针对性心理干预(OR=10.15,P<0.05)对患者术后谵妄的防治效果最佳,其次分别为早期活动、音乐疗法、ABCDE集束化护理措施、目标性镇静镇痛结合早期活动(OR=3.48~5.42,均P<0.05)等。结论针对性心理干预和早期运动分别为最佳的多组分和单一非药物干预措施,多组分非药物干预相比单一干预措施对预防心脏大血管手术患者术后谵妄更有优势。未来可根据循证证据制订策略精准的多组分非药物干预方案,以降低患者术后谵妄发生率。展开更多
文摘目的基于《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。
基金supported by the National Natural Science Foundation of China(30900141)the Chinese Academy of Sciences(KSCX2-EW-J-22,09C302,Y0B3011)the Chinese Academy of Sciences(KSCX2-YW-R-077)
文摘Generally, the function of vocalizations made by male anurans are to attract females or defend resources. Typically, males vocalize in choruses during one or more periods in a twenty-four-hour cycle, which varies, however, among species. Nevertheless, the causal factors influencing circadian variations of calling patterns in anuran species are not clear. In this study, male chorus vocalizations were monitored in the Emei music frog(Babina daunchina) for 17 consecutive days during the breeding season, while its habitat air temperature and relative humidity in the course of experiments were measured as well. The results revealed that the circadian calling patterns were characterized by two periods of peak vocalization, which were observed from 0500 h to 0700 h and from 1300 h to 2000 h, while the lowest activity period was found from 2100 h to 2200 h. Both calls/h and notes/h were positively correlated with air temperature and negatively with relative humidity. Overall, our data indicate that the Emei music frogs(B. daunchina) could regulate their vocal activities based on the changes of physical micro-environment(e. g., temperature or humidity) to maximize reproductive success.
文摘目的综合评价非药物干预对心脏大血管手术患者术后谵妄的影响,为选择最佳干预措施提供参考。方法计算机检索中国生物医学文献服务系统、中国知网、万方数据库、维普数据库、PubMed、Web of Science、Cochrane Library、Embase和Scopus数据库,检索时限为建库至2022年3月,收集不同非药物干预对心脏大血管手术患者术后谵妄影响的随机对照研究。由2名研究者独立筛选文献、提取资料并进行文献质量评价,运用Stata 16.0软件进行网状Meta分析。结果共纳入16项研究,总样本量为2011例。网状Meta分析结果显示,针对性心理干预(OR=10.15,P<0.05)对患者术后谵妄的防治效果最佳,其次分别为早期活动、音乐疗法、ABCDE集束化护理措施、目标性镇静镇痛结合早期活动(OR=3.48~5.42,均P<0.05)等。结论针对性心理干预和早期运动分别为最佳的多组分和单一非药物干预措施,多组分非药物干预相比单一干预措施对预防心脏大血管手术患者术后谵妄更有优势。未来可根据循证证据制订策略精准的多组分非药物干预方案,以降低患者术后谵妄发生率。
