团体回忆疗法对养老院老年人心理社会健康影响的系统评价与Meta分析OA

Objectives:This systematic review and meta-analysis aimed to evaluate the effects of group reminis-cence therapy(GRT)on psychosocial outcomes among nursing home residents with intact cognition and mild cognitive impairment(MCI). Methods:PubMed,Embase,EBSCO,Web of Science,ScienceDirect,Wanfang,CNKI,SinoMed,VIP,and Google Scholar were searched from inception to September 2025.Randomized controlled trials(RCTs)and quasi-experimental studies investigating GRT among nursing home residents aged ≥60 years with intact cognition and MCI were included.Study quality was assessed using the Cochrane RoB 2 and Risk of Bias in Non-randomized Studies of Interventions(ROBINS-I)tools,and meta-analyses were conducted using RevMan 5.4. Results:Nineteen studies involving 925 nursing home residents were included,comprising 4 RCTs and 15 quasi-experimental studies.GRT significantly reduced depression(SMD=-1.38;95％CI:-1.72,-1.05;P＜0.001)and death anxiety(SMD=-1.09;95％CI:-1.57,-0.62;P＜0.001),while significantly improving life satisfaction(SMD=0.94;95％CI:0.34,1.54;P=0.002),self-esteem(SMD=1.21;95％CI:0.59,1.83;P＜0.001),and happiness(SMD=0.91;95％CI:0.32,1.50;P=0.002).However,the effect on loneliness was not statistically significant(SMD=-1.98;95％CI:-4.01,0.06;P=0.060).Subgroup analyses showed variations in intervention effects across studies.Sensitivity analyses indicated good stability of the pooled results,and no significant publication bias was detected for the main outcomes. Conclusions:GRT may improve psychosocial well-being among nursing home residents with intact cognition and MCI by reducing depression and death anxiety and enhancing life satisfaction,self-esteem,and happiness.However,the evidence regarding loneliness remains inconclusive.Further high-quality RCTs with larger sample sizes and longer follow-up periods are needed to confirm the long-term effectiveness of GRT among nursing home residents.