社区居住的老年人的自我护理干预措施：系统评价和荟萃分析。
Self-care interventions of community-dwelling older adults: a systematic review and meta-analysis.
机构信息
Catedra de Envejecimiento en todas las edades, University of León, León, Spain.
出版信息
Front Public Health. 2023 Oct 9;11:1254172. doi: 10.3389/fpubh.2023.1254172. eCollection 2023.
INTRODUCTION
The current notion of "care in old age" should be reconceptualized in the ageing societies of the 21st century. Currently, "being old" means that one is actively involved in their care and has the desire to retain control and independence.
OBJECTIVE
Understand and analyze the efficacy of interventions in the physical and psychological self-care practices of healthy community-dwelling older people.
METHODOLOGY
Systematic review and meta-analysis. The guidelines of the PRISMA guide were followed. The methodological quality of the studies was checked using Cochrane Effective Practice and Organisation of Care criteria, and the search was performed between 2016 and 2021.
RESULTS
Of the 1,866 evaluated, 8 studies met the criteria. The systematic review reveals that self-care interventions focus on physical health-related variables but not on psychological variables. The meta-analysis shows that interventions significantly improve physical health-related variables (care visits, hospital admission, medication, and gait speed).
CONCLUSION
Self-care training programs should include psychological variables to increase health and well-being in healthy older people.
简介
在 21 世纪的老龄化社会中，应该重新构建当前的“老年关怀”概念。目前，“年老”意味着一个人积极参与自己的护理，并希望保持控制和独立。
目的
了解和分析对健康的社区居住老年人进行身体和心理自我护理实践的干预措施的效果。
方法
系统评价和荟萃分析。遵循 PRISMA 指南的准则。使用 Cochrane 有效实践和护理组织标准检查研究的方法学质量，并于 2016 年至 2021 年之间进行了搜索。
结果
在评估的 1866 项中，有 8 项符合标准。系统评价显示，自我护理干预措施侧重于与身体健康相关的变量，但不涉及心理变量。荟萃分析表明，干预措施可显著改善与身体健康相关的变量（护理访问、住院、药物治疗和步态速度）。
结论
自我护理培训计划应包括心理变量，以提高健康老年人的健康和幸福感。
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