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职业疗法干预对养老院中健康老年人生活质量的改善:系统评价。

Occupational Therapy Interventions for the Improvement of the Quality of Life of Healthy Older Adults Living in Nursing Homes: A Systematic Review.

机构信息

Department of Psychology, Universidad Nacional de Educación a Distancia, Talavera de la Reina, Spain.

Department of Nursing and Physiotheraphy, Universidad de Salamanca, Salamanca, Spain.

出版信息

Am J Health Promot. 2023 Jun;37(5):698-704. doi: 10.1177/08901171221145159. Epub 2022 Dec 11.

Abstract

OBJECTIVE

To evaluate current scientific evidence on the effectiveness of occupational therapy interventions for the improvement of the quality of life of healthy adults over 65 years old living in nursing homes.

DATA SOURCE

PubMed, Web of Science, Dialnet, Scopus, Cochrane, Cinahl and SciELO databases searched between 2012 and 2022.

STUDY INCLUSION AND EXCLUSION CRITERIA

a) Studies involving occupational therapy interventions in residential settings (nursing homes or community residential settings), b) Studies conducted on a population of healthy adults over 65 years old, c) Studies with a level of evidence 1a-1b to 3a-3b, d) Studies containing the MeSH descriptors in the keyword list.

DATA EXTRACTION

For each study included in the review, key information was collected and entered into a data extraction form based on Cochrane recommendations, using Microsoft Excel v.16.16.21 software.

DATA SYNTHESIS

Descriptive summary of study characteristics and summarized methodological quality of the studies.

RESULTS

Six of the articles met the inclusion criteria and were categorised into "promotion of active ageing" and "meaningful activities and quality of life". Overall, the strength of evidence was moderate, and the risk of bias was low.

CONCLUSION

Occupational therapy intervention programmes structured around the opportunity to choose meaningful activities can improve the perceived quality of life of healthy older adults living in nursing homes.

摘要

目的

评估目前关于职业治疗干预对改善居住在养老院的 65 岁以上健康成年人生活质量的有效性的科学证据。

资料来源

2012 年至 2022 年期间在 PubMed、Web of Science、Dialnet、Scopus、Cochrane、Cinahl 和 SciELO 数据库中进行了检索。

研究纳入和排除标准

a)涉及居住环境(养老院或社区居住环境)中的职业治疗干预的研究,b)针对 65 岁以上健康成年人的研究,c)证据水平为 1a-1b 至 3a-3b 的研究,d)包含关键字列表中 MeSH 描述符的研究。

数据提取

对于纳入综述的每项研究,均根据 Cochrane 建议从关键信息进行收集并输入数据提取表,使用 Microsoft Excel v.16.16.21 软件。

数据综合

研究特征的描述性总结和研究方法学质量的总结。

结果

符合纳入标准的有 6 篇文章,分为“促进积极老龄化”和“有意义的活动和生活质量”。总体而言,证据强度为中等,偏倚风险较低。

结论

围绕选择有意义的活动机会构建的职业治疗干预方案可以改善居住在养老院的健康老年人的感知生活质量。

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