Frailty in Ageing Research Group & Gerontology Department, Vrije Universiteit Brussel, Belgium.
Ageing Res Rev. 2013 Jan;12(1):141-50. doi: 10.1016/j.arr.2012.03.007. Epub 2012 Apr 6.
In residential long-term care (LTC), a growing interest exists in the older residents' Quality of Life (QoL). The Active Ageing-concept (AA) extended this focus, since AA has the aim to enhance QoL by optimising the opportunities for health, participation and security. In LTCs, AA can be outlined by 9 determinants. This systematic review aimed at identifying interventions to improve the QoL of LTC-residents. These interventions were organised according to the AA-determinants.
PubMed, Web of Science, Psychinfo and Sociological Abstracts were screened systematically. Articles were excluded when they only concerned a specific group of LTC-residents.
Thirty five relevant articles, encompassing 3910 subjects were found. These concerned interventions concentrating on one or more of the 9 AA-determinants. The largest proportion of interventions regarded the physical activity level or the psychological factors of the residents. Overall, no systematic effects on QoL could be found and a low methodological quality was generally present.
Currently, studies aimed at enhancing the QoL of older LTC-resident are limited and often directed to physical and psychological interventions. The lack of a systematic effect on QoL is possibly related to the fact that these interventions were often not multidimensional, whereas QoL is a multidimensional concept.
在住宅式长期护理（LTC）中，人们对老年居民的生活质量（QoL）越来越感兴趣。积极老龄化（AA）概念扩展了这一关注点，因为 AA 的目标是通过优化健康、参与和安全的机会来提高 QoL。在 LTC 中，AA 可以由 9 个决定因素来概括。本系统评价旨在确定改善 LTC 居民生活质量的干预措施。这些干预措施根据 AA 决定因素进行了组织。
系统地筛选了 PubMed、Web of Science、Psychinfo 和 Sociological Abstracts。仅涉及 LTC 居民特定群体的文章被排除在外。
发现了 35 篇相关文章，共涉及 3910 名受试者。这些干预措施集中在 9 个 AA 决定因素中的一个或多个因素上。干预措施的比例最大的是居民的身体活动水平或心理因素。总体而言，没有发现对 QoL 的系统影响，而且方法学质量普遍较低。
目前，旨在提高老年 LTC 居民生活质量的研究有限，而且往往针对身体和心理干预。对 QoL 没有系统影响的原因可能是这些干预措施往往不是多维的，而 QoL 是一个多维的概念。
