高齢者の対処戦略の改善のための介入:体系的なレビューとメタ分析

Mingyue Zhu¹, Xiaotong Ding^1,2,3, Jingjing Gu¹

¹School of Nursing, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Worldviews on evidence-based nursing

|August 25, 2025

まとめ

介入は老人の問題に焦点を当てた対処戦略を効果的に強化します感情に焦点を当てた他の対処スタイルへの影響を確認するためにさらなる研究が必要です.

科学分野:

ゲロントロジー
心理学
公衆衛生

背景:

老化は生理的,心理的,社会的変化と関連しておりストレス要因に対する脆弱性が高まります
ストレスの原因で健康に悪影響を及ぼすリスクが高くなります
この集団における対処戦略をターゲットにした介入の有効性はまだ十分に調査されていない.

研究の目的:

高齢者の対処戦略を改善するために設計された介入の証拠を体系的に検討し,合成する.
様々な対処メカニズムに対するこれらの介入の有効性を分析する.

主な方法:

主要な科学データベースを網羅して,包括的な体系的な検索を行いました.
含まれた研究は,ランダム化制御試験 (RCT) と準実験設計であった.
文献のスクリーニング,質の評価,データ抽出は2人の独立した研究者が実施した.

主要な成果:

9件の研究 (7件のRCT,2件の準実験) がメタ解析に含まれていた.
介入により,問題に焦点を当てた対処戦略が著しく改善されました (SMD = 0.37,p = 0.005).
感情に焦点を当てたポジティブやネガティブな対処戦略には重要な効果は見つかりませんでした

結論:

高齢者の問題への対処を効果的に改善できます
将来の介入はストレス因子の認識と感情の調節に重点を置くべきです
より明確な結論を得るために,より大規模なランダム化制御試験が推奨されます.

キーワード:

対処する戦略介入についてメタ解析高齢者体系的なレビュー

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