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Eficácia da reminiscência na cognição, sintomas depressivos e qualidade de vida em idosos na comunidade: revisão sistemática
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Advisor(s)
Abstract(s)
Contexto: Na literatura, a terapia de reminiscência (TR) destaca-se enquanto intervenção não-farmacológica comummente
implementada em grupos de idosos com compromisso cognitivo.
Objetivo: Identificar a melhor evidência disponível sobre a eficácia da TR na cognição, sintomas depressivos e qualidade
de vida em idosos que frequentam estruturas de apoio comunitário.
Método de revisão: Seguiu-se a metodologia proposta pelo Joanna Briggs Institute. Foram considerados estudos centrados
na TR em grupo, que incluíram idosos (≥ 65 anos) com compromisso cognitivo, a frequentar estruturas de apoio
comunitário. A análise crítica, extração e síntese de resultados foram desenvolvidas por 2 investigadores independentes.
Apresentação e interpretação dos resultados: Incluídos 2 ensaios clínicos randomizados e 2 estudos quase-experimentais
(n = 502); as características heterogéneas dos estudos impossibilitaram meta-análise. Dois estudos evidenciaram
os benefícios da TR na cognição. Nenhum dos estudos demonstrou o impacto positivo da intervenção
relativamente à sintomatologia depressiva. Na qualidade de vida, os resultados revelaram-se inconsistentes.
Conclusão: A TR parece ter um efeito benéfico na melhoria da cognição em idosos com compromisso cognitivoem contexto comunitário.
Background: In the literature, reminiscence therapy (RT) stands out as a non-pharmacological intervention commonly implemented in groups of elderly people with cognitive impairment. Objective: To identify the best available evidence on the effectiveness of RT in cognition, depressive symp- toms, and quality of life in elderly people using com- munity support structures. Method of Review: The methodology proposed by the Jo- anna Briggs Institute was followed. Studies focused on group RT, including elderly people (≥ 65 years old) with cognitive impairment and using community support structures, were considered. Critical analysis, extraction, and synthesis of re- sults were conducted by 2 independent researchers. Presentation and interpretation of results: Two random- ized controlled trials and 2 quasi-experimental studies were included (n = 502); the heterogeneity of the studies pre- cluded meta-analysis. Two studies evidenced the benefits of RT to cognition. None of the studies showed the positive impact of the intervention on depressive symptomatology. Regarding quality of life, inconsistent results were found. Conclusions: The RT seems to have a beneficial effect on improving cognition in elderly people with cognitive impairment in a community context.
Background: In the literature, reminiscence therapy (RT) stands out as a non-pharmacological intervention commonly implemented in groups of elderly people with cognitive impairment. Objective: To identify the best available evidence on the effectiveness of RT in cognition, depressive symp- toms, and quality of life in elderly people using com- munity support structures. Method of Review: The methodology proposed by the Jo- anna Briggs Institute was followed. Studies focused on group RT, including elderly people (≥ 65 years old) with cognitive impairment and using community support structures, were considered. Critical analysis, extraction, and synthesis of re- sults were conducted by 2 independent researchers. Presentation and interpretation of results: Two random- ized controlled trials and 2 quasi-experimental studies were included (n = 502); the heterogeneity of the studies pre- cluded meta-analysis. Two studies evidenced the benefits of RT to cognition. None of the studies showed the positive impact of the intervention on depressive symptomatology. Regarding quality of life, inconsistent results were found. Conclusions: The RT seems to have a beneficial effect on improving cognition in elderly people with cognitive impairment in a community context.
Description
Keywords
Terapia reminiscência Idoso Depressão Disfunção cognitiva Qualidade de vida Cognição Reminiscence Aged Cognitive dysfunction Cognition Depression Quality of life
Citation
Publisher
Unidade de Investigação em Ciências da Saúde - Enfermagem da Escola Superior de Enfermagem de Coimbra