School of Public Health, Fudan University, Shanghai, China.
Evidence-Based Social Science Center, School of Public Health, Lanzhou University, Lanzhou Gansu, China.
Psychol Health Med. 2022 Jun;27(5):1072-1083. doi: 10.1080/13548506.2020.1847303. Epub 2020 Dec 14.
To assess and compare the QoL of the older people dwelling in traditional family versus nursing home/institution. A comprehensive literature search was performed on 10 January 2018 to identify studies that investigated the QoL of older adults dwelling in family versus nursing home settings. Analyses were run using random-effects meta-analyses. A total of six cross-sectional studies with 1623 people were included. The quality of included studies was moderate. Meta-analysis showed that compared with nursing home support, the family support could significantly improve the physical health (6 studies, SMD = 0.50, 95%CI: 0.32-0.68, p < 0.05), mental status (6 studies, SMD = 0.45, 95%CI: 0.26-0.65, p < 0.05), and social relationship (5 studies, SMD = 0.51, 95%CI: 0.19-0.83, p < 0.05). Traditional family support model demonstrated a significant improvement in the physical health, psychological status and social relationships among older adults. The conclusions were driven by cross-sectional studies, Larger, adequately powered RCTs are required to confirm our finding.
评估和比较居住在传统家庭与养老院/机构的老年人的生活质量。于 2018 年 1 月 10 日进行了全面的文献检索，以确定研究老年人在家庭与养老院环境中生活质量的研究。使用随机效应荟萃分析进行分析。共纳入了 6 项横断面研究，共 1623 人。纳入研究的质量为中等。荟萃分析表明，与养老院支持相比，家庭支持可显著改善老年人的身体健康（6 项研究，SMD=0.50，95%CI：0.32-0.68，p<0.05）、心理健康（6 项研究，SMD=0.45，95%CI：0.26-0.65，p<0.05）和社会关系（5 项研究，SMD=0.51，95%CI：0.19-0.83，p<0.05）。传统家庭支持模式可显著改善老年人的身体健康、心理状态和社会关系。该结论由横断面研究驱动，需要更大规模、充分有力的 RCT 来证实我们的发现。
