Alves Elisabete, Gonçalves Cátia, Oliveira Henrique, Ribeiro Rita, Fonseca César
Nursing Department, University of Évora, Évora, Portugal.
Comprehensive Health Research Center (CHRC), University of Évora, Évora, Portugal.
Heliyon. 2024 Jul 27;10(15):e35351. doi: 10.1016/j.heliyon.2024.e35351. eCollection 2024 Aug 15.
The aging population reveals the need to develop self-care interventions that promote autonomy and well-being. The current systematic review aimed to assess the association between the implementation of structured home-based rehabilitation programs to promote self-care in older adults and health-related outcomes among people aged 60 years or older. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic literature review was performed. Three electronic databases (MEDLINE, CINAHL and Psychology and Behavioral Sciences Collection) were searched. Randomized experimental studies, that implemented a home-based rehabilitation program to promote self-care in older adults, and were published between 2019 and 2024, were retrieved. Data on health-related outcomes were collected. Eight studies were included; all eight studies implemented a monitored, progressive and customized rehabilitation program. The studies varied greatly regarding the sample size, the duration of the intervention, the rehabilitation program implemented and the instruments used. The implementation of structured home-based rehabilitation programs may contribute to improve physical and psychological health-related outcomes among older adults by promoting functional capacity, self-care and knowledge.
人口老龄化凸显了开发促进自主性和幸福感的自我护理干预措施的必要性。本次系统评价旨在评估实施结构化居家康复计划以促进老年人自我护理与60岁及以上人群健康相关结局之间的关联。按照系统评价和Meta分析的首选报告项目(PRISMA)指南,进行了一项系统文献综述。检索了三个电子数据库(MEDLINE、CINAHL以及心理学与行为科学合集)。检索了2019年至2024年间发表的、实施居家康复计划以促进老年人自我护理的随机实验研究。收集了与健康相关结局的数据。纳入了八项研究;所有八项研究均实施了一项有监测、渐进且定制化的康复计划。这些研究在样本量、干预持续时间、实施的康复计划以及所使用的工具方面差异很大。实施结构化居家康复计划可能有助于通过促进功能能力提升、自我护理和知识获取来改善老年人的身体和心理健康相关结局。