Gardiner Clare, Laud Pete, Heaton Tim, Gott Merryn
The University of Sheffield, UK.
The University of Auckland, New Zealand.
Age Ageing. 2020 Aug 24;49(5):748-757. doi: 10.1093/ageing/afaa049.
the number of older people living in residential and nursing care homes is rising. Loneliness is a major problem for older people, but little is known about the prevalence of loneliness amongst older people living in care homes.
to undertake a systematic review of literature on the prevalence of moderate and severe loneliness amongst older people living in residential and nursing care homes.
we systematically reviewed the databases Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, PsycINFO, Embase, Scopus, Cochrane and Allied and Complementary Medicine Database (AMED) from inception to January 2019. We included all studies reporting data on the prevalence of loneliness amongst older people living in care homes. A random-effects meta-analysis was conducted on all eligible data.
a total of 13 articles were included, representing 5,115 participants (age range of 55-102 years, mean age 83.5 years, 68% female). There was a significant variation between studies in estimates of prevalence. The prevalence of moderate loneliness ranged from 31 to 100%, and the prevalence of severe loneliness ranged from 9 to 81%. The estimated mean prevalence of 'moderate loneliness' was 61% (95% confidence interval (CI): 0.41, 0.80). The estimated mean prevalence of 'severe loneliness' was 35% (95% CI: 0.14, 0.60).
the prevalence of both moderate loneliness and severe loneliness amongst care home residents is high enough to warrant concern. However, the significant variation in prevalence estimates warrants further research. Future studies should identify which interventions can address loneliness and promote meaningful social engagement to enhance quality of life in care homes.
居住在养老院和护理院的老年人数量正在增加。孤独是老年人面临的一个主要问题，但对于居住在护理院的老年人中孤独的患病率知之甚少。
对居住在养老院和护理院的老年人中中度和重度孤独患病率的文献进行系统综述。
我们系统地检索了护理及相关健康文献累积索引数据库（CINAHL）、医学文献数据库（MEDLINE）、心理学文摘数据库（PsycINFO）、荷兰医学文摘数据库（Embase）、Scopus数据库、Cochrane图书馆以及补充与替代医学数据库（AMED），检索时间从建库至2019年1月。我们纳入了所有报告居住在护理院的老年人孤独患病率数据的研究。对所有符合条件的数据进行随机效应荟萃分析。
共纳入13篇文章，涉及5115名参与者（年龄范围55 - 102岁，平均年龄83.5岁，68%为女性）。各研究对患病率的估计存在显著差异。中度孤独的患病率在31%至100%之间，重度孤独的患病率在9%至81%之间。“中度孤独”的估计平均患病率为61%（95%置信区间（CI）：0.41，0.80）。“重度孤独”的估计平均患病率为35%（95% CI：0.14，0.60）。
护理院居民中中度孤独和重度孤独的患病率高到足以引起关注。然而，患病率估计值的显著差异值得进一步研究。未来的研究应确定哪些干预措施可以解决孤独问题并促进有意义的社交参与，以提高护理院的生活质量。
