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护士家访对老年人身体和心理社会健康的影响:一项系统评价与荟萃分析。

Effect of Home Visits by Nurses on the Physical and Psychosocial Health of Older Adults: A Systematic Review and Meta-Analysis.

作者信息

Ergin Emine, Akin Belgin, Kocoglu-Tanyer Deniz

机构信息

Department of Public Health Nursing, Faculty of Health Sciences, İstanbul Aydın University, İstanbul, Turkey.

Department of Public Health Nursing, Faculty of Health Sciences, Lokman Hekim University, Ankara, Turkey.

出版信息

Iran J Public Health. 2022 Apr;51(4):733-745. doi: 10.18502/ijph.v51i4.9234.

Abstract

BACKGROUND

One of the best ways to maintain and develop physical and psychosocial health is to make regular home visits. This meta-analysis aimed to determine (by subgroups) the effects of interventions based on nurses' home visits on physical and psychological health outcomes of older people.

METHODS

This search was carried out using the The CINAHL, Cochrane, MEDLINE, PubMed, Science Direct, Web of Science, and Turkish databases. Experimental and observational studies were included.

RESULTS

The meta-analysis included 26 (with subgroups 50) out of 13110 studies. The minimum and maximum values of the effect size (Hedges g) were g = -0.708 and g = 0.525, respectively. The average effect size was g = 0.084 (SD = 0.21).

CONCLUSION

Home visit interventions are effective in reducing the frequency of hospitalization in the older adults, and improving physical and psychosocial health. They are negatively effective on falls and have no significant effect on the quality of life.

摘要

背景

保持和促进身心健康的最佳方法之一是定期进行家访。本荟萃分析旨在确定(按亚组)基于护士家访的干预措施对老年人身心健康结果的影响。

方法

使用CINAHL、Cochrane、MEDLINE、PubMed、Science Direct、Web of Science和土耳其数据库进行检索。纳入了实验性和观察性研究。

结果

荟萃分析纳入了13110项研究中的26项(含亚组50项)。效应量(Hedges g)的最小值和最大值分别为g = -0.708和g = 0.525。平均效应量为g = 0.084(标准差 = 0.21)。

结论

家访干预措施在降低老年人住院频率、改善身心健康方面有效。它们对跌倒有负面影响,对生活质量没有显著影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a96/9288399/7f3a54612500/IJPH-51-733-g001.jpg

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