Cheng Cheng, Christensen Martin
School of Nursing, Hong Kong Polytechnic University, Hong Kong, SAR, People's Republic of China.
School of Nursing, Fudan University, Xuhui, Shanghai, People's Republic of China.
J Multidiscip Healthc. 2024 Jul 9;17:3181-3192. doi: 10.2147/JMDH.S452426. eCollection 2024.
This umbrella review was to synthesize the summarized evidence-based research regarding interventions addressing symptoms in older populations with multimorbidity. Three databases including PsycINFO, MEDLINE, and CINAHL were searched systematically. The JBI Methodology for Umbrella Reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statements were used to report this review. Six reviews published between 2016 and 2010 were included for analysis. Interventions were mixed and included components on health-related behaviors, body systems or functions, activities and participation domains, and the environment. Outcomes concerning physiological/clinical functioning were most reported. The evidence regarding the symptoms-related interventions was mixed, but all showed promising outcomes compared with usual care or not. To sum up, this umbrella review reveals the lack of strong empirical evidence for the effectiveness of intervention addressing symptoms in older adults with multimorbidity. It highlights the need to evaluate the established approach of interventions further to support this population.
本综述旨在综合有关针对患有多种疾病的老年人群症状干预措施的循证研究总结证据。系统检索了包括PsycINFO、MEDLINE和CINAHL在内的三个数据库。本综述采用循证卫生保健国际协作网（JBI）的系统综述方法和系统评价与Meta分析的首选报告项目（PRISMA）声明。纳入了2016年至2010年间发表的6篇综述进行分析。干预措施多种多样，包括与健康相关行为、身体系统或功能、活动和参与领域以及环境等方面。报告最多的是关于生理/临床功能的结果。关于症状相关干预措施的证据参差不齐，但与常规护理相比，所有干预措施均显示出有前景的结果。总之，本综述揭示了针对患有多种疾病的老年人症状干预有效性缺乏有力的实证证据。它强调需要进一步评估既定的干预方法，以支持这一人群。
