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美国社会隔离、孤独感和代际干预的需求:范围综述。

Needs of social isolation, loneliness, and intergenerational interventions in the United States: a scoping review.

机构信息

Department of Geriatrics, School of Medicine and Health Sciences, University of North Dakota, Grand Forks, ND, United States.

College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, United States.

出版信息

Front Public Health. 2024 Aug 9;12:1386651. doi: 10.3389/fpubh.2024.1386651. eCollection 2024.

Abstract

Social isolation and loneliness are major health concerns for older adults in the United States. This scoping review examines the effectiveness of intergenerational interventions aimed at reducing social isolation and loneliness among older adults in the United States, specifically through programs that engage university students from healthcare-related fields in one-on-one settings with older adults, as reports of lacking geriatric training of healthcare students causes older adult neglect to persist in the healthcare workforce. The importance of addressing these issues is underscored by significant health risks and substantial economic burdens, with social isolation and loneliness potentially increasing mortality and costing Medicare an estimated $6.7 billion annually. Covering literature from 2010 to 2022, this review critically assesses the role of such interventions in fostering social connections and improving both physical and mental health outcomes. Despite the positive preliminary results indicating significant reductions in loneliness and enhancements in social networks among participants, the review highlights considerable gaps in current research, particularly in structured intervention curricula, demographic reporting and detailed intervention descriptions. This underscores the need for more rigorous and standardized research methodologies to better understand the effectiveness and potential of intergenerational programs as interventions against the detrimental effects of social isolation and loneliness among older adults.

摘要

社会隔离和孤独是美国老年人的主要健康问题。本范围综述探讨了旨在减少美国老年人社会隔离和孤独感的代际干预措施的有效性,特别是通过让医疗保健相关领域的大学生与老年人一对一互动的项目,因为有报道称医疗保健专业学生缺乏老年病学培训,导致老年人在医疗保健工作队伍中受到忽视。这些问题的重要性在于其存在重大健康风险和巨大经济负担,社会隔离和孤独感可能会增加死亡率,并使医疗保险每年损失约 67 亿美元。本综述涵盖了 2010 年至 2022 年的文献,批判性地评估了这些干预措施在促进社会联系和改善身心健康结果方面的作用。尽管有初步的积极结果表明参与者的孤独感显著降低,社交网络得到增强,但综述强调了当前研究存在相当大的差距,特别是在结构化干预课程、人口统计报告和详细干预描述方面。这凸显了需要更严格和标准化的研究方法,以更好地了解代际项目作为干预措施的有效性和潜力,以应对老年人社会隔离和孤独感的不利影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9e1/11341492/2c30e5fb5800/fpubh-12-1386651-g001.jpg

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