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独居老年人健康促进干预措施的系统评价。

Health promotion interventions for older people living alone: a systematic review.

机构信息

Research Assistant, Faculty of Nursing, Akdeniz University, 07058 Antalya, Turkey.

Professor, Doctor, Faculty of Nursing, Akdeniz University, Antalya, Turkey.

出版信息

Perspect Public Health. 2019 Sep;139(5):255-263. doi: 10.1177/1757913918803980. Epub 2019 Feb 13.

Abstract

AIMS

The aim of this systematic literature review was to identify health promotion interventions for older people living alone and to describe the effectiveness of these interventions.

METHODS

A literature search was conducted using five databases, including CINAHL, Ovid MEDLINE, PubMed, Cochrane, Scopus, and Web of Science, and this comprehensive literature search process was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. Potentially relevant studies were evaluated and selected by two authors. Studies were assessed based on inclusion criteria. The Standardised Critical Appraisal Tool from Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was used to appraise the methodological quality of these studies.

RESULTS

Of the 2852 unique studies identified in the systematic search, the full texts of three studies meeting the inclusion criteria were reviewed. The results showed that the level of physical activity and self-efficacy for physical activity, activities of daily living, food enjoyment, and energy intake increased and leisure engagement decreased with health promotion interventions.

CONCLUSION

The findings of this review indicate that interventions to improve health promotion positively affect the health of older people living alone and enhance their quality of life. There is a need for further research involving multidimensional interventions for older people living alone.

摘要

目的

本系统文献回顾的目的是确定针对独居老年人的健康促进干预措施,并描述这些干预措施的效果。

方法

使用 CINAHL、Ovid MEDLINE、PubMed、Cochrane、Scopus 和 Web of Science 这五个数据库进行文献检索,该全面的文献检索过程遵循系统评价和荟萃分析的首选报告项目 (PRISMA) 声明。两位作者对潜在相关研究进行评估和选择。研究根据纳入标准进行评估。使用 Joanna Briggs 研究所荟萃分析统计评估和审查工具 (JBI-MAStARI) 的标准化批判性评估工具评估这些研究的方法学质量。

结果

在系统搜索中确定的 2852 项独特研究中,有 3 项符合纳入标准的研究的全文进行了审查。结果表明,健康促进干预措施可提高独居老年人的身体活动水平和身体活动自我效能感、日常生活活动能力、食物享受度和能量摄入,并降低休闲参与度。

结论

本综述的结果表明,改善健康促进的干预措施对独居老年人的健康产生积极影响,并提高他们的生活质量。需要对独居老年人进行多维干预的进一步研究。

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