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基于健康促进理论的老年人干预措施:综合评价。

Interventions based on salutogenesis for older adults: An integrative review.

机构信息

School of Nursing, Peking University, Beijing, P.R. China.

出版信息

J Clin Nurs. 2024 Jul;33(7):2456-2475. doi: 10.1111/jocn.17028. Epub 2024 Jan 29.

DOI:10.1111/jocn.17028
PMID:38284512
Abstract

AIMS

To synthesize the evidence of interventions based on salutogenesis for older adults.

BACKGROUND

With the increasing tendency of global ageing and the progression of 'healthy ageing', salutogenesis has been adopted as a framework of health promotion for older adults.

DESIGN

An integrative review following PRISMA guidelines.

DATA SOURCES

Seven databases including PubMed, Cochrane Library, Web of Science, Embase, Scopus, PsycINFO and CINAHL Plus were systematically searched on 29 September 2022 and updated on 18 July 2023.

RESULTS

Eighteen eligible studies were included in this review. Salutogenic-based interventions fell into three main categories: dialogue-based, health education courses based, and goal setting and achievement based. The intervention doses: length ranged from 4 weeks to 2 years, with most (n = 12) within 12 weeks; the duration of each session ranged from 30 to 150 min, with the majority (n = 7) within 1 h; the frequency ranged from five times weekly to three times in 10 months, and in six studies was once a week. Intervention providers were mostly multidisciplinary teams, while in four studies were nurses only. Most of the studies reported that salutogenic-based interventions could improve older adults' sense of coherence, quality of life, self-efficacy, self-management, meaning of life and mental health.

CONCLUSIONS

This review synthesized the interventions based on salutogenesis for older adults, including salutogenesis application, intervention and its doses, intervention settings and providers, and intervention effects. Future research on the effectiveness of the intervention, the optimal dose of the intervention and the underlying mechanisms are still necessary to understand salutogenic-based interventions.

NO PATIENT OR PUBLIC CONTRIBUTION

Not apply as it's a review paper.

RELEVANCE TO CLINICAL PRACTICE

Salutogenic-based intervention is effective for older adults in different scenarios to improve their health outcomes. Nurses play a key role in salutogenic-based interventional programs and thus should be essential personnel as the intervention provider.

摘要

目的

综合基于健康正论的干预措施在老年人中的证据。

背景

随着全球老龄化趋势的加剧和“健康老龄化”的发展,健康正论已被用作老年人健康促进的框架。

设计

遵循 PRISMA 指南的综合评价。

数据来源

2022 年 9 月 29 日系统检索了 PubMed、Cochrane Library、Web of Science、Embase、Scopus、PsycINFO 和 CINAHL Plus 等 7 个数据库,并于 2023 年 7 月 18 日进行了更新。

结果

本综述纳入了 18 项符合条件的研究。基于健康正论的干预措施分为三大类:基于对话的、基于健康教育课程的和基于目标设定和实现的。干预剂量:长度从 4 周到 2 年不等,大多数(n=12)在 12 周内;每次疗程的持续时间从 30 分钟到 150 分钟不等,大多数(n=7)在 1 小时内;频率从每周 5 次到 10 个月内 3 次不等,在 6 项研究中为每周 1 次。干预提供者大多是多学科团队,而在 4 项研究中只有护士。大多数研究报告称,基于健康正论的干预措施可以提高老年人的整体感、生活质量、自我效能、自我管理、生活意义和心理健康。

结论

本综述综合了基于健康正论的老年人干预措施,包括健康正论的应用、干预及其剂量、干预设置和提供者、以及干预效果。未来仍有必要研究干预的有效性、干预的最佳剂量和潜在机制,以了解基于健康正论的干预措施。

无患者或公众参与

由于这是一篇综述论文,因此不适用。

与临床实践的相关性

基于健康正论的干预措施在不同情况下对老年人有效,可以改善他们的健康结果。护士在基于健康正论的干预项目中发挥着关键作用,因此应该作为干预提供者成为必要人员。

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