幽默疗法对老年人负面情绪、生活质量和认知功能的影响:系统回顾与荟萃分析。

IF 2.5 3区 医学 Q3 GERIATRICS & GERONTOLOGY Geriatric Nursing Pub Date : 2024-11-13 DOI:10.1016/j.gerinurse.2024.10.054
Zitong Zhou (RN, MSNc), Yu Jia (RN, MSNc), Hong Yan (RN, MSN), Jun Wen (RN, MSNc), Jialan Xu (RN, MSNc), Siyu Wang (RN, MSNc)
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引用次数: 0

摘要

目的:系统回顾幽默疗法对老年人的干预效果:系统回顾幽默疗法对老年人的干预效果:方法:我们检索了中英文数据库中有关幽默疗法干预老年人的研究,并使用 stata 15 软件进行了荟萃分析:结果:共有 9 项随机对照试验和 4 项准实验研究符合我们的纳入标准,合并样本为 984 名参与者。元分析显示,幽默疗法能显著改善老年人的抑郁(SMD = -0.66,95 %CI:-0.95 至 -0.36,p < 0.001)、孤独感(SMD = -1.52,95 %CI:2.66 至 -0.39,p = 0.008)和生活质量(SMD = 0.42,95 %CI:0.23 至 0.62,p < 0.001)。定性分析显示,幽默疗法对老年人的幸福感、压力和短暂的恢复力有明显影响,但对认知功能的影响不明显:幽默疗法可以减轻老年人的抑郁和孤独感,提高他们的生活质量,但目前的证据并不支持幽默疗法作为改善老年人认知功能的有效干预措施。需要进一步的研究来证实这些发现并调查潜在的机制。
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Effects of humor therapy on negative emotions, quality of life and cognitive function in older adults: A systematic review and meta-analysis

Objective

To systematically review the intervention effects of humor therapy on older adults.

Methods

We searched Chinese and English databases for studies on humor therapy interventions for older adults and performed meta-analysis using stata 15 software.

Results

A total of 9 randomized controlled trials and 4 quasi-experimental studies, with a pooled sample of 984 participants, met our inclusion criteria. Meta-analysis showed that humor therapy significantly improved depression (SMD = -0.66, 95 %CI:-0.95 to -0.36, p < 0.001), loneliness (SMD = -1.52, 95 % CI:2.66 to -0.39, p = 0.008), quality of life (SMD = 0.42, 95 %CI: 0.23 to 0.62, p < 0.001) in older adults. Qualitative analysis revealed significant effects of humor therapy on happiness, stress, and brief resilience, but non-significant effects on cognitive functioning in older adults.

Conclusions

Humor therapy can reduce depression and loneliness and improve quality of life in older adults, but current evidence does not support humor therapy as an effective intervention to improve cognitive functioning in older adults. Need for further studies to confirm these findings and investigate potential mechanisms.
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来源期刊
Geriatric Nursing
Geriatric Nursing 医学-护理
CiteScore
3.80
自引率
7.40%
发文量
257
审稿时长
>12 weeks
期刊介绍: Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.
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