主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
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中国护理管理 ›› 2020, Vol. 20 ›› Issue (6): 881-887.doi: 10.3969/j.issn.1672-1756.2020.06.017

• 循证护理 • 上一篇    下一篇

计算机认知训练对认知健康中老年人抑郁焦虑改善效果的Meta分析

吕思漫 冯晓玉 唐文 马梦宁 倪翠萍 刘佳琳 刘宇   

  1. 中国医科大学护理学院,110122 沈阳市
  • 出版日期:2020-06-15 发布日期:2020-06-15
  • 通讯作者: 刘宇,博士,教授,E-mail:liuyubmu@163.com
  • 作者简介:吕思漫,硕士在读
  • 基金资助:
    辽宁省科学技术计划项目(20180550424)

A Meta-analysis of Computerized Cognitive Training on depression and anxiety among cognitively healthy adults and elderly

LYU Siman, FENG Xiaoyu, TANG Wen, MA Mengning, NI Cuiping, LIU Jialin, LIU Yu   

  1. School of Nursing, China Medical University, Shenyang, 110012, China
  • Online:2020-06-15 Published:2020-06-15
  • Contact: E-mail:liuyubmu@163.com

摘要: 目的:通过Meta分析探讨使用计算机认知训练(Computerized Cognitive Training,CCT)对认知健康的中老年人抑郁、焦虑的改善效果。方法:计算机检索Cochrane Library、PubMed、Web of Science、Elsevier、EBSCO ASP & BSP、Lippincontt Williams & amp Wilkins、Medline、EMBASE、中国生物医学文献数据库、万方数据库和中国知网等数据库中有关CCT对认知健康中老年人抑郁、焦虑影响的随机对照试验,对符合质量标准的文献采用RevMan5.3软件进行Meta分析。结果:最终共筛选出7项随机对照试验,417例研究对象。Meta分析结果显示,与对照组相比,CCT可以降低受试者的抑郁水平[SMD=-0.43,95%CI(-0.63,-0.23),P<0.05]和焦虑水平[SMD=-0.73,95%CI(-1.46,-0.01),P=0.05]。结论:CCT可以改善认知健康中老年人的抑郁和焦虑。由于干预措施的频率、评价指标不一致,且对照组的设置不统一,因此,需要更多大样本、高质量的研究进一步证实CCT对认知健康中老年人抑郁、焦虑的影响。

关键词: 计算机认知训练;抑郁;焦虑;中老年人;Meta分析

Abstract: Objective: To explore the influence of Computerized Cognitive Training on depression and anxiety among cognitively healthy adults and elderly in order to provide evidence for clinical practice. Methods: Cochrane Library, PubMed MEDLINE, Web of Science, Elsevier, EBSCO ASP&BSP, Lippincontt Williams& Wilkins, EMBASE, CBM, CNKI, Wanfang Data and VIP were searched to collect randomized controlled trials (RCTs). The quality of RCTs was critically appraised and data were extracted by 2 reviewers independently. Meta-analysis was conducted for eligible RCTs. Results: Seven RCTs with417 subjects were included. Through Meta-analysis significant differences were observed in depression [SMD=?-0.43, 95% CI (-0.63, -0.23), P<0.05] and anxiety [SMD=?-0.73, 95% CI (-1.46,-0.01), P=0.05] between the Computerized Cognitive Training group and the control group. Conclusion: Computerized Cognitive Training has an advantage in reducing the depression and anxiety among cognitively healthy adults and elderly. Because of the difference among indicators, the settings of the control group, and frequency of interventions, studies with larger sample size and higher quality are needed in future.

Key words: Computerized Cognitive Training; depression; anxiety; adults; elderly; Meta-analysis

中图分类号: 

  • R47