动物辅助干预在老年抑郁中应用现状的范围综述
A Scoping Review of Animal-assisted Interventions in Geriatric Depression
投稿时间:2023-07-21  修订日期:2024-05-17
DOI:
中文关键词:  动物辅助干预  老年抑郁  心理干预  范围综述
英文关键词:Animal assisted interventions  Geriatric depression  Psychological therapy  Scoping review
基金项目:国家自然科学(82001444)
作者单位地址
严懿 遵义医科大学护理学院 成都市金牛区营门口互利西一巷8号
吴冬梅* 成都市第四人民医院 成都市金牛区营门口互利西一巷8号
叶子翔 成都市第四人民医院 
詹维希 遵义医科大学护理学院 
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中文摘要:
      背景 老年抑郁是老年人群常见的精神问题,动物辅助干预(AAI)有助于治疗精神疾病,但其在老年抑郁群体中的应用效果存在争议。目的 对AAI缓解老年抑郁的研究现状进行综述,为制定老年抑郁人群的AAI方案提供参考。方法 根据Arksey范围综述方法确定问题,于2023年4月16日,检索中国知网、维普数据库、万方医学网数据库、中国生物医学文献数据库、Web of Science、PubMed、CINAHL、Cochrane Library、Embase数据库,收集AAI与老年抑郁相关的文献,检索时限为建库至2023年4月15日。由经过统一培训的两名研究者独立进行文献筛选和提取纳入文献的基本信息、干预内容、研究结论等数据数据提取 。结果 共纳入13篇文献。AAI的场所包括养老院、医院、社区、日间照护中心、住宅;干预内容包括抚摸和对命名动物 命名、与动物进行言语互动、与动物玩游戏、与治疗师对话、学习饲养动物。AAI有助于改善老年抑郁人群的社会交往和沟通能力、带来积极的情感体验、改善生活满意度等,但其对认知功能的改善效果存在争议。结论 AAI可能有助于改善老年抑郁人群的负性情绪和抑郁症状。
英文摘要:
      Background Geriatric depression is a common psychiatric problem in the elderly population, and many studies have shown that animal-assisted interventions can be helpful in the treatment of psychiatric disorders, but the effectiveness of their application in the geriatric depression population is controversial. Objective To provide an overview of the current state of research on animal assisted interventions to alleviate geriatric depression, and to inform the development of animal assisted intervention programs for the geriatric depression population. Methods Based on Arksey's scoping review method to identify the problem, on April 16, 2023, China Knowledge Network, VIP databases, Wanfang Medical Network database, China Biomedical Literature database, Web of Science, PubMed, CINAHL, Cochrane Library, Embase database were searched to collect studies related to animal-assisted interventions and geriatric depression from inception to April 15, 2023. The literature was screened and extracted data on basic information, intervention content, and study findings, which were independently carried out by two researchers who have received unified training. Results A total of 13 literatures were included in the final review, and animal-assisted interventions are available in nursing homes, hospitals, communities, day care centers, and residences. Interventions were petting and naming the animals, verbally interacting with the animals, playing games with the animals, communicating with the physiotherapists, and learning to care for and raise the animals. Animal assisted interventions have a positive effect on improving social interaction and communication ability, bringing positive emotional experience, and improving life satisfaction in geriatric depression, but the effect on improving cognitive impairment is controversial. Conclusion Animal-assisted interventions can help improve negative mood and depressive symptoms in geriatric depression, which may be a safe and effective psychotherapy.
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