减少社区老年人孤独的干预措施:一个网络的元分析和系统审查
Yinghui Sun1, Haiyou Huang2, Guangyun Cai3
1The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, PR China.
Journal of the American Medical Directors Association
|January 12, 2025
概括
干预措施显著减少了老年人的孤独感. 心理社会内容,联合交付方式和混合接触方法是对抗老年人社会孤立的最有效方法.
科学领域:
- 老年学与公共卫生
- 社会科学 社会科学 社会科学
- 心理学 心理学 心理学
背景情况:
- 在社区生活的老年人中,孤独是普遍存在的问题.
- 有效的干预对于改善这一人口群的福祉至关重要.
- 现有的研究缺乏对干预有效性的全面综合.
研究的目的:
- 评估各种干预措施在减少社区老年人孤独感方面的有效性.
- 通过网络元分析和系统审查,确定孤独干预措施中最有效的组成部分.
- 综合应对策略和干预评估的定性发现.
主要方法:
- 一个网络的元分析 (NMA) 和定量和定性研究的系统审查.
- 搜索了6个英语和3个中文数据库,查找2023年8月之前发表的研究.
- 提取了NMA的定量数据和专题分析的定性数据.
主要成果:
- 包括46项定量研究 (6049名参与者) 和40项定性研究 (1095名参与者).
- 干预措施在减少孤独感方面显示出大而显著的效果 (SMD = -0.95,P < .001).
- 最有效的干预措施包括心理社会内容,组合的个人/团体交付,以及混合的面对面/在线接触.
结论:
- 在老年人中确定了有效的孤独干预措施的关键组成部分.
- 结果为减轻孤独的实践和政策提供了洞察力.
- 建议应对孤独的社会,认知和行为层面的策略.
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