关键词: ageing cognition community depression nursing older adults physical activity social activity social participation

来  源:   DOI:10.1111/jan.16344

Abstract:
OBJECTIVE: The aim of this study is to summarize the characteristics of social participation classification and examine the association between activities and health outcomes among older adults.
METHODS: Scoping review.
METHODS: Eight databases (Cumulative Index to Nursing and Allied Health Literature, The Cochrane Library, Embase, ProQuest, Psychological Information Database, PubMed, Scopus and Web of Science) were searched. Reference lists of relevant social participation reviews were also considered.
METHODS: This study applied a five-stage methodological framework. A narrative synthesis summarized social participation classification and activities and their associations with health outcomes among older adults (≥65 years) living at home, in the community or in nursing residences.
RESULTS: Forty-two articles published between 1975 and 2022 were selected. Four classification criteria of social participation were extracted and summarized from these studies. Based on the depth and breadth of social interactions, this review proposed a four-level classification schema. A lower risk of mortality and less visual impairment were associated with participation in level-one, level-three or level-four activities, whereas less depression, less pain and better cognitive function were linked to participation in level-three or level-four activities.
CONCLUSIONS: Future studies should provide a clear definition, establish classification criteria for participation and properly select activity forms while considering both subjective and objective dimensions.
UNASSIGNED: The results could provide data for designing targeted social participation interventions to improve specific health outcomes among older adults.
CONCLUSIONS: This review could help researchers examine the role of social participation activities in specific health outcomes. Moreover, a proposed classification of social participation activities would benefit researchers and community nurses in discerning the similarities and differences among activities.
UNASSIGNED: This study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Extension for Scoping Reviews guideline.
UNASSIGNED: No patient or public contribution.
摘要:
目的:这项研究的目的是总结社会参与分类的特征,并研究老年人的活动与健康结果之间的关系。
方法:范围审查。
方法:八个数据库(护理和相关健康文献累积指数,科克伦图书馆,Embase,ProQuest,心理信息数据库,PubMed,搜索了Scopus和WebofScience)。还审议了相关社会参与审查的参考清单。
方法:本研究采用了五阶段方法框架。叙事综合总结了社会参与分类和活动及其与老年人(≥65岁)居家健康结果的关联,在社区或护理场所。
结果:选择了1975年至2022年之间发表的42篇文章。从这些研究中提取并总结了四种社会参与分类标准。基于社会交往的深度和广度,这篇综述提出了一个四级分类方案。较低的死亡率和较少的视力损害与参与一级相关,三级或四级活动,而抑郁较少,疼痛减轻和认知功能改善与参与三级或四级活动有关.
结论:未来的研究应提供明确的定义,建立参与的分类标准,并在考虑主观和客观维度的同时适当选择活动形式。
结果可以为设计有针对性的社会参与干预措施提供数据,以改善老年人的特定健康结果。
结论:这篇综述可以帮助研究人员研究社会参与活动在特定健康结果中的作用。此外,拟议的社会参与活动分类将有利于研究人员和社区护士辨别活动之间的异同.
本研究遵循系统评价的首选报告项目和范围评价的Meta分析扩展指南。
没有患者或公众捐款。
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