老年孤儿的健康结局：文献的综合及范围综述
Health Outcomes of Elder Orphans: An Umbrella and Scoping Review of the Literature.
作者信息
Roofeh Regina, Smith Dylan M, Hale Lauren, Clouston Sean A P
机构信息
Program in Public Health, Stony Brook Medicine, Stony Brook, NY.
Division of Geriatrics and Palliative Medicine, Department of Medicine, Northwell Health, Manhasset, New York.
出版信息
J Popul Ageing. 2024 Sep;17(3):649-674. doi: 10.1007/s12062-022-09387-1. Epub 2022 Aug 16.
OBJECTIVES
As the population of elder orphans grows, little research has investigated the health outcomes of these socially and physically isolated older adults without caregiving support. Umbrella and scoping reviews were performed for studies examining health outcomes of older adults experiencing elements of elder orphanhood.
METHODS
Studies published 2010- June 2021 and indexed on PubMed, Web of Science, CINAHL, Medline, or SocINDEX were eligible. Results of included studies were examined both by individual category and overall to determine overlapping outcomes.
RESULTS
Umbrella review returned 1,686 studies, with 14 meeting criteria for social isolation (n=10) and physical isolation (n=4). The scoping review of studies examining unmet caregiving need returned 3,741 results: five met inclusion criteria.
DISCUSSION
Included studies reviewed differing health outcomes in older adults, with a focus on dementia, frailty, and healthcare utilization. Further studies are needed that appraise targeted policies and interventions to improve health outcomes of elder orphans.
目标
随着老年孤儿群体的不断壮大，针对这些缺乏照护支持、处于社会和身体孤立状态的老年人的健康状况的研究甚少。我们进行了综合综述和范围综述，以研究经历老年孤儿相关情况的老年人的健康状况。
方法
纳入2010年至2021年6月发表并被PubMed、科学网、护理学与健康领域数据库、医学期刊数据库或社会科学引文索引收录的研究。对纳入研究的结果按个体类别和总体情况进行分析，以确定重叠的结果。
结果
综合综述检索到1686项研究，其中14项符合社会孤立（n = 10）和身体孤立（n = 4）的标准。对未满足的照护需求研究的范围综述返回3741个结果：5项符合纳入标准。
讨论
纳入研究回顾了老年人不同的健康状况，重点关注痴呆、虚弱和医疗保健利用情况。需要进一步开展研究，评估针对性政策和干预措施，以改善老年孤儿的健康状况。
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