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Social Interventions Targeting Social Relations Among Older People at Nursing Homes: A Qualitative Synthesized Systematic Review

机译:针对养老院中老年人社会关系的社会干预:定性综合系统评价

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摘要

Social relations are part of the complex set of factors affecting health and well-being in old age. This systematic review seeks to uncover whether social interventions have an effect on social and health-related measures among nursing home residents. The authors screened PubMed, Scopus, and PsycINFO for relevant peer-reviewed literature. Interventions were included if (1) they focused primarily on social relations or related terms such as loneliness, social support, social isolation, social network, or being involuntarily alone either as the base theory of the intervention or as an outcome measure of the intervention; (2) they were implemented at nursing homes (or similar setting); (3) they had a narrative activity as its core (as opposed to dancing, gardening or other physical activity); (4) their participants met either physically or nonphysically, ie, via video-conference or the like; and if (5) they targeted residents at a nursing home. The authors systematically appraised the quality of the final selection of studies using the Mixed Methods Assessments Tool (MMAT) version 2011 and did a qualitative synthesis of the final study selection. A total of 10 studies were included. Reminiscence therapy was the most common intervention. Studies also included video-conference, cognitive, and support group interventions. All studies found the social interventions brought about positive trends on either/or the social and health-related measures included. Despite limited and very diverse evidence, our systematic review indicated a positive social and health-related potential of social interventions for older people living in nursing homes or similar institutions.
机译:社会关系是影响老年人健康和福祉的一系列复杂因素的一部分。本系统综述旨在揭示社会干预措施是否对疗养院居民的社会和健康相关措施产生影响。作者筛选了PubMed,Scopus和PsycINFO,以获取相关的同行评议文献。如果(1)干预主要针对社会关系或相关术语,例如孤独感,社会支持,社会隔离,社会网络,或者作为干预的基础理论或干预的结果指标而非自愿地单独干预,则将干预包括在内; (2)在养老院(或类似场所)实施; (3)他们以叙事活动为核心(与舞蹈,园艺或其他体育活动相对); (4)参加者通过电视会议等方式进行物理或非物理性的会面;如果(5)他们将居民瞄准了疗养院。作者使用混合方法评估工具(MMAT)2011版系统地评估了最终研究的质量,并对最终研究的选择进行了定性综合。总共包括10个研究。回忆疗法是最常见的干预措施。研究还包括视频会议,认知和支持小组的干预措施。所有研究都发现,社会干预为/或所包括的与社会和健康相关的措施带来了积极趋势。尽管证据有限且非常多样化,但我们的系统评价显示,对于住在疗养院或类似机构中的老年人,社会干预具有积极的社会和健康相关潜力。

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