A meta analysis on preventive effect of perioperative cognitive intervention on postoperative delirium
10.3969/j.issn.1671-8348.2025.01.035
- VernacularTitle:围手术期认知干预对患者术后谵妄预防效果的 meta 分析
- Author:
Shumei TIAN
1
;
Yongting WEI
;
Zuyang XI
Author Information
1. 三峡大学第一临床医学院/宜昌市中心人民医院手术室,湖北宜昌 443003
- Keywords:
cognitive behavioral therapy;
cognitive intervention;
delirium;
postoperative delirium;
meta analysis
- From:
Chongqing Medicine
2025;54(1):187-194
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate the effect of perioperative cognitive intervention in the prevention of postoperative delirium(POD)in the operative patients.Methods The randomized controlled trials on perioperative cognitive intervention were retrieved from the databases of Wanfang,CNKI,VIP,Si-nomed,Pubmed,Cochrane Library,CINAHL,Web of Science and Embase.The retrieval time limit was from the database establishment to September 30,2023.The Cochrane bias risk tool was used to evaluate the litera-ture quality and RevMan 5.3 was used for conducting the meta analysis.Results A total of 19 trials were in-cluded,with a total of 3 751 research subjects,including 1 903 cases in the experimental group and 1 848 cases in the control group.The overall incidence rate of POD was 17.97％.The meta analysis results showed that perioperative cognitive intervention could reduce the incidence rate of POD[RR=0.47,95％CI(0.34,0.64),Z=4.83,P＜0.001].In the analysis from the research subjects,the intervention could rdecrease the incidence rates of POD in the elderly patients,orthopedic surgery patients and tumor surgery patients;in the analysis from the intervention timing,preoperative intervention and postoperative intervention all decreased the inci-dence rate of POD;in the analysis from the intervention forms,the conventional cognitive training intervention could decrease the incidence rate of POD,but the awareness interventional effect based on information technol-ogy or application program was not significant.Conclusion The perioperative cognitive intervention is an effective measure to prevent POD.In the future,the studies aiming at the intervention groups and intervention forms are still needed to explore the best intervention measures.
