改善老年人应对策略的干预措施:系统审查和元分析
Mingyue Zhu1, Xiaotong Ding1,2,3, Jingjing Gu1
1School of Nursing, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
干预措施有效地提高了老年人面临问题的应对策略. 需要进一步的研究来证实对情绪集中和其他应对方式的影响.
科学领域:
- 老年学
- 心理学
- 公共卫生
背景情况:
- 老龄化与生理,心理和社会变化有关,
- 老年人面临着因压力而导致不良健康后果的风险.
- 针对这一人口群体的应对策略的干预措施的有效性仍未得到充分探索.
研究的目的:
- 系统地审查和综合有关旨在改善老年人应对策略的干预证据.
- 分析这些干预措施对各种应对机制的有效性.
主要方法:
- 在主要的科学数据库中进行了全面的系统搜索.
- 包括的研究是随机对照试验 (RCT) 和准实验设计.
- 两位独立研究人员进行了文献选,质量评估和数据提取.
主要成果:
- 在分析中包括了9项研究 (7项RCT,2项准实验).
- 干预措施显著改善了以问题为中心的应对策略 (SMD = 0.37,p = 0.005).
- 对于以情绪为中心的积极或消极应对策略, 没有发现显著的影响.
结论:
- 干预可以有效地提高老年人面对问题的能力.
- 未来的干预措施应侧重于压力因素的识别和情绪调节.
- 建议进行更大规模的随机对照试验以得出更明确的结论.
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