关键词: intergenerational engagement loneliness mixed method older people patient and public involvement quality of life social isolation systematic review

Mesh : Humans Long-Term Care Intergenerational Relations Asia Aged Quality of Life

来  源:   DOI:10.3389/fpubh.2024.1422134   PDF(Pubmed)

Abstract:
UNASSIGNED: Asian countries are experiencing a rapid rise in their aging populations. Cognitive and physical decline associated with aging can limit social interaction. This particularly impacts on those residing in long-term care facilities and engagement with children and young people. Intergenerational engagement has known benefits on the health and wellbeing of older people, it is unclear what the impact of intergeneration engagement interventions might have on older people in Asian long-term care settings. This review aims to evaluate the effectiveness and experiences of intergenerational engagement with older people in long-term care facilities in Asia.
UNASSIGNED: Ten databases were searched to locate empirical studies of any design published in English or Chinese from January 2000 to June 2023. The search was limited to papers reporting effectiveness and/or experiences of intergenerational engagement on older people residing in Asian long-term care settings. The protocol was registered with PROSPERO (CRD42023413935) and followed PRISMA guidelines for reporting. A convergent design employing narrative synthesis was used to synthesize and integrate findings.
UNASSIGNED: From initial searches, 1,092 records were identified, of which 13 studies were retained for the review: 7 quantitative (including 1 randomized controlled trial, 1 cross-sectional observational design, and 5 quasi-experimental designs), 3 qualitative, and 3 mixed methods. Included studies were of variable quality. Quantitative evidence revealed that intergenerational engagement reduced depression (4.47 vs. 8.67, p = 0.005), negative emotions (14.11 vs. 16.56, p = 0.030), and feelings of loneliness (p < 0.01) among older people; and increased quality of life (mean change = -1.91; 95% CI = -3.18, -0.64) and strengthens interpersonal interactions (p = 0.025). Qualitative insights suggested that intergenerational engagement could foster emotional bonds, enhance intergenerational relationships, promote lifelong learning, satisfy social needs and improve older peoples\' overall quality of life. However, some challenges such as language differences and noise levels can hinder successful implementation of intergenerational engagement.
UNASSIGNED: This review indicates that intergenerational engagement can reduce depression and loneliness, improve quality of life, and strengthen social bonds for older individuals in Asian long-term care facilities. Despite some challenges, the evidence underlines its potential to meet the emotional and social needs of older people. Recognizing and addressing delivery challenges is essential for effective implementation.
UNASSIGNED: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023413935, identifier: CRD42023413935.
摘要:
亚洲国家正在经历人口老龄化的迅速增长。与衰老相关的认知和身体下降会限制社交互动。这尤其影响到居住在长期护理设施中的人以及与儿童和年轻人的接触。代际参与对老年人的健康和福祉有已知的好处,目前尚不清楚代际参与干预可能对亚洲长期护理机构中的老年人产生什么影响.这篇综述旨在评估亚洲长期护理机构中与老年人的代际互动的有效性和经验。
搜索了十个数据库,以查找2000年1月至2023年6月以英文或中文发布的任何设计的实证研究。搜索仅限于报告居住在亚洲长期护理环境中的老年人代际参与的有效性和/或经验的论文。该方案已在PROSPERO(CRD42023413935)注册,并遵循PRISMA报告指南。采用叙事合成的融合设计用于合成和整合发现。
从初始搜索,确定了1,092条记录,其中13项研究保留用于审查:7项定量(包括1项随机对照试验,1个横截面观察设计,和5个准实验设计),3定性,3种混合方法。纳入的研究质量参差不齐。定量证据表明,代际参与减少抑郁(4.47vs.8.67,p=0.005),负面情绪(14.11vs.16.56,p=0.030),老年人的孤独感(p<0.01);提高了生活质量(平均变化=-1.91;95%CI=-3.18,-0.64),并加强了人际交往(p=0.025)。定性的见解表明,代际互动可以促进情感纽带,加强代际关系,促进终身学习,满足社会需求,提高老年人的整体生活质量。然而,语言差异和噪音水平等一些挑战可能会阻碍代际参与的成功实施。
这篇评论指出,代际参与可以减少抑郁和孤独感,提高生活质量,并加强亚洲长期护理机构中老年人的社会纽带。尽管面临一些挑战,证据强调了它满足老年人情感和社会需求的潜力。认识到并应对交付挑战对于有效执行至关重要。
https://www.crd.约克。AC.uk/prospro/display_record.php?ID=CRD42023413935,标识符:CRD42023413935。
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