在老年人中逆转虚弱:一个范围审查
Aurélie Tonjock Kolle1, Krystina B Lewis1,2,3, Michelle Lalonde1,4
1School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
BMC geriatrics
|November 18, 2023
概括
在老年人中逆转脆弱是可能的,将他们从脆弱转移到脆弱前或非脆弱状态. 干预措施主要针对物理领域,结果取决于脆弱性评估方法.
科学领域:
- 老年学是一门学科.
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 老年人 (65岁以上) 容易出现虚弱,增加不良健康风险.
- 扭转脆弱性是一个越来越感兴趣的领域,但它的定义和实现是不太了解的.
- 本综述综合了老年人虚弱逆转干预措施的证据.
研究的目的:
- 审查脆弱干预措施对老年人的影响.
- 识别成功逆转脆弱性的干预措施.
- 为了澄清脆弱性逆转的概念.
主要方法:
- 根据Arksey和O'Malley的五阶段方法进行范围审查.
- 在CINAHL,EMBASE,PubMed和Web of Science中进行的搜索,补充了参考列表和灰色文献.
- 在批判性评估后使用描述和叙述方法进行数据合成.
主要成果:
- 其中33项研究中有17项 (56.7%) 认为虚弱是可逆的.
- 逆转范围从脆弱到脆弱前,非脆弱或不那么严重的脆弱.
- 干预主要针对物理领域 (97%) 并经常以社区为基础 (69.7%).
结论:
- 脆弱性逆转是可以实现的,取决于测量方法.
- 当前的理解将逆转定义为从脆弱/严重脆弱转向脆弱前/轻微脆弱的转变.
- 建议进行进一步的概念分析和结合实践经验的初级研究.
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