科研之友
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摘要
BACKGROUND: Many original studies have explored the effectiveness of massage and touch on behavioural and psychological symptoms of dementia. However, the study design, interventions, measurements and outcomes varied among studies. AIM: To systematically evaluate the effectiveness of massage and touch on the behavioural and psychological symptoms of older people with dementia. DESIGN: A quantitative systematic review and meta-analysis. DATA SOURCES: Cochrane Library, The Joanna Briggs Institute (JBI) Library, PubMed, CINAHL, ProQuest Health & Medical Complete, SinoMed, China National Knowledge Infrastructure (CNKI) and Wanfang were searched from the date the database established to January 2016. REVIEW METHODS: Randomized, controlled trials or quasi-experimental studies, involving massage and touch intervention for older people with dementia were considered to be included. Risk of bias assessment was performed using the Cochrane Collaboration's tool and meta-analysis was performed using Revman 5.3. RESULTS: A total of 11 studies, involving 526 older people were included. The results of the meta-analysis showed the total score of behavioural and psychological problems with older people with dementia and subgroup scores of physical aggressive behaviour, physical non-aggressive behaviour, verbal aggressive behaviour and verbal non-aggressive behaviour decreased significantly after receiving massage or touch, while the subgroups scores of anxiety, sadness and anger did not decreased significantly. CONCLUSIONS: Due to relatively small sample size and low quality of the included studies in this review, it is difficult to draw a conclusion on the effect of massage and touch on behavioural and psychological syndrome of dementia or implications for practice.
