有潜力帮助生活在社会脆弱的老年人中的干预措施:一个系统的范围审查
Monika Kastner1,2,3, Isabella Herrington4, Julie Makarski4
1North York General Hospital, Toronto, Ontario, Canada. monika.kastner@utoronto.ca.
BMC geriatrics
|June 15, 2024
概括
这次范围审查确定了189种有效的干预措施,以打击老年人的社会脆弱性,包括那些在流行病期间适应能力强的干预措施. 这些策略旨在改善老年人的孤独感和整体幸福感.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
背景情况:
- 社会脆弱对老年人产生重大影响,增加死亡率,功能衰退,跌倒和残疾的风险.
- 现有的针对社会脆弱的老年人的策略是不够的,尤其是在流行病期间的社会决定因素和适应方面.
- 进行了范围审查,以确定对经历社会脆弱的老年人 (年龄≥65岁) 的有效干预措施.
研究的目的:
- 确定具有最大潜力的干预措施,以帮助社会脆弱的老年人.
- 了解社会决定因素如何影响对这一群体的干预措施.
- 在社交距离和隔离期间探索干预措施的适应性.
主要方法:
- 使用JBI方法进行了全面的范围审查.
- 搜索包括MEDLINE,CINAHL,EMBASE,COVID-19数据库和灰色文献,符合PICOS框架的资格标准.
- 数据合成涉及使用社会脆弱性框架对干预措施进行描述性总结和分类.
主要成果:
- 495项涉及124,498名老年人的干预措施被确定在社会脆弱领域:社会资源 (40%),自我管理 (32%),社会行为活动 (28%) 和一般资源 (0.4%).
- 189项干预措施在改善孤独,社会和健康/福祉方面表现出有效性.
- 63项干预措施被确定为在传染病爆发期间适应可行的干预措施.
结论:
- 范围审查成功确定了有希望的干预措施,以支持社会脆弱的老年人.
- 这些发现为开发和调整策略提供了有价值的见解,以减轻社会脆弱的影响,特别是在诸如流行病等具有挑战性的环境中.
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