[非药物疗法对阿尔茨海默氏症患者的有效性:系统回顾。]

Revista espanola de salud publica Pub Date : 2023-10-18
Marta Ruíz-Hernández, Raúl Mur-Gomar, Raimunda Montejano-Lozoya
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引用次数: 0

摘要

目的:阿尔茨海默病已成为21世纪的一大流行病,对社会和卫生系统的可持续性提出了挑战。阿尔茨海默氏症会导致老年人的残疾和依赖,需要持续的治疗,以改善这些人的健康和生活质量。本文的目的是评估在初级保健中应用于阿尔茨海默氏症患者的非药物疗法的有效性。方法:应用PRISMA方法对2017年4月至2022年4月发表的文章进行系统综述。查阅的数据库有:PubMed、CINAHL、Dialnet、Web of Science和PsycINFO。使用MeSH和DeSH以及布尔运算符and和OR。文章的质量用STROBE、COCHRANE、AMSTAR-2和JBI量表进行评估。结果:共选择了19篇文章,对各种非药物疗法及其对阿尔茨海默病患者的有效性进行了评估。基于身体活动和康复、认知刺激和音乐、动物和艺术的职业疗法,随着时间的推移而应用和维持,是一种替代方案,无论是联合应用还是单独应用,都能有效预防、阻止和减缓阿尔茨海默病症状,尤其是在第一阶段。结论:体育活动和康复,音乐、动物和艺术的认知刺激和治疗,可以改善阿尔茨海默病第一阶段患者的健康状况和生活质量。
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[Efectividad de las terapias no farmacológicas en personas con alzheimer: una revisión sistemática.]

Objective: Alzheimer's disease has become the great epidemic of the 21st century, being a challenge for the sustainability of the social and health system. Alzheimer's causes disability and dependency among the elderly, requiring continued care with therapies that improve the health and quality of life of these people. The objective of this paper was to evaluate the effectiveness of non-pharmacological therapies applied to people with Alzheimer's in Primary Care.

Methods: A systematic review of articles published between April 2017 and April 2022 was carried out, applying the PRISMA methodology. The databases consulted were: PubMed, CINAHL, Dialnet, Web of Science and PsycINFO. MeSH and DeSH were used, with the Boolean operators AND and OR. The quality of the articles was evaluated with the STROBE, COCHRANE, AMSTAR-2 and JBI scales.

Results: A total of nineteen articles were selected in which various non-pharmacological therapies and their effectiveness in people with Alzheimer's were evaluated. Therapies based on physical activity and rehabilitation, cognitive stimulation and occupational therapy with music, animals and art, applied and maintained over time, are an alternative which, either combined or applied in isolation, are effective in preventing, stopping and slowing down Alzheimer's disease symptoms, especially in the first phase.

Conclusions: Physical activity and rehabilitation, cognitive stimulation and therapy with music, animals and art, improve the health status and quality of life of patients with Alzheimer's disease in the first phase of the disease.

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