在老年人群中定义和分类非药物干预:系统性审查
Eline C M Kooijmans1, Emiel O Hoogendijk2, Natalia Drapała3
1Department of General Practice, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands; Aging & Later Life, Amsterdam Public Health, Amsterdam, The Netherlands.
Journal of the American Medical Directors Association
|October 18, 2024
概括
对老年人的非药物干预 (NPI) 缺乏明确的定义. 本次审查分析了现有的NPI定义,以提出更好的研究和实施这些重要治疗方法的标准.
科学领域:
- 老年学是指老年学的学科.
- 卫生科学 卫生科学 卫生科学
- 干预研究 干预研究
背景情况:
- 非药物干预 (NPI) 对老年人至关重要,比如与药物相比,其副作用较少.
- 缺乏一个明确的,统一的NPI定义阻碍了研究,可比性和实施.
- 定义NPI对于认可,资助和在老年护理中更广泛采用至关重要.
研究的目的:
- 系统地审查和比较有关老年人的文献中NPI的现有定义.
- 确定当前NPI定义中使用的关键特征和元素.
- 提出对NPI的全面定义的标准.
主要方法:
- 进行了科学文献的系统审查.
- 在主要数据库 (PubMed,Embase,Web of Science,CINAHL,Cochrane Library) 进行了搜索,截至2023年12月.
- 包括专注于NPI的60岁及以上个体的研究,包括评论文章,社论和共识论文.
主要成果:
- 综述中包括了28篇文章.
- 根据干预类型,目标人群,目标和要求,分析了NPI定义.
- 定义一般分为两类:不包括药物和更复杂的多领域定义.
结论:
- 提出了基于共识的NPI新定义的要素.
- 建立一个明确的定义对于推进研究和改善NPI在老年人中的应用至关重要.
- 需要进一步达成共识,以巩固NPI定义的元素.
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