[关键词]
[摘要]
目的 对社交辅助机器人在老年认知障碍患者干预中的应用效果进行伞状评价,为相关研究提供高质量证据。方法 检索中国知网、万方、维普、Sinomed、PubMed、Web of Science、the Cochrane Library、Embase和CINAHL中有关社交辅助机器人在老年认知障碍患者中应用效果的系统评价和Meta分析,检索时限为各数据库建库至2024年5月11日。使用AMSTAR 2和GRADE工具对纳入文献的方法学质量和证据等级进行评价,并用R 4.4.0软件对结果重新进行Meta分析。结果 共纳入13篇文献,6篇为低质量、7篇为极低质量,总结出12个与健康有关的结局指标。Meta分析显示,社交辅助机器人对老年认知障碍患者的社交互动、积极情绪、生活质量、缓解躁动、缓解抑郁和药物使用有积极影响。结论 社交辅助机器人在一定程度上可改善老年认知障碍患者的健康状况,但未来仍需大样本、高质量的研究为社交辅助机器人的老年照护提供更多实践依据。
[Key word]
[Abstract]
Objective To conduct an umbrella review of the effectiveness of socially assistive robots (SARs) in interventions for elder adults with cognitive impairment,thereby providing high-quality evidence for future research.Methods Search for systematic reviews and meta-analyses on the application effects of SARs in elderly patients with cognitive impairment in CNKI,Wanfang,VIP,Sinomed,PubMed,Web of Science,the Cochrane Library,Embase and CINAHL.The search period was from the inception to May 11,2024.The methodological quality and evidence level of the included literature were evaluated using AMSTAR 2 and GRADE tools,and the results were re-meta-analyzed using R 4.4.0 software.Results A total of 13 studies were included,with 6 of low quality and 7 of very low quality.Twelve outcome indicators related to health were summarized.Meta-analysis showed that social assistance robots had a positive impact on social interaction,positive emotions,quality of life,restlessness relief,depression relief and drug use in elderly patients with cognitive impairment.Conclusions SARs can improve the health status of elderly patients with cognitive impairment to a certain extent.However,large-sample and high-quality studies are still needed in the future to provide more practical basis for the elderly care of SARs.
[中图分类号]
R47;R823
[基金项目]
国家自然科学基金面上项目(71974196);教育部产学合作协同育人项目(230905329045253);老年长期照护教育部重点实验室(海军军医大学)