社区居住老年人身体虚弱与社会支持之间的关系：一项系统综述

IF 3.8 3区医学 Q2 GERIATRICS & GERONTOLOGY

Archives of gerontology and geriatrics Pub Date : 2025-03-10 DOI:10.1016/j.archger.2025.105826

Xiaofan Dou , Lifeng Yao , Hai Xu , Ruijian Yan , Nannan Dai , Qiao He

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引用次数: 0

摘要

体弱多病的老年人出现护理需求未得到满足、跌倒、骨折等情况的可能性增加，给社会带来严重负担。通过评估社区居住老年人身体虚弱与社会支持的关系，为预防虚弱的发生提供参考。方法从Medline、Embase、PsycINFO、CINAHL Plus和Web of Science数据库建立至2024年2月16日，对社区居住老年人脆弱性与社会支持的关系进行横断面和纵向研究。在文献筛选后，两位研究者完成了数据提取，并使用8项Joanna Briggs研究所分析性横断面研究关键评估清单（横断面研究）和纽卡斯尔-渥太华量表（纵向研究）对队列研究进行偏倚风险评估。结果共纳入14篇文献，其中横断面研究9篇，纵向研究5篇。在社区居住的老年人中，关于社会支持与虚弱之间的关系没有明确的共识。纳入研究的总体质量非常高。结论社会支持与社区老年人脆弱性的相关性有待进一步验证，但鉴于社会支持的重要作用，仍建议家庭成员对老年人提供多方面的社会支持，尤其是主观支持。

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Association between physical frailty and social support in community-dwelling older adults: A systematic review

Introduction

Older adults with frailty have an increased likelihood of unmet care needs, falls and fractures and so on, which brings serious burdens to society. By evaluating the association between physical frailty and social support in community-dwelling older adults, we will provide reference for preventing the occurrence of frailty.

Methods

Cross-sectional and longitudinal studies on association between frailty and social support in community-dwelling older adults were mainly searched from the database of Medline, Embase, PsycINFO, CINAHL Plus and Web of Science from their establishment to February 16, 2024. After literature screening, two researchers completed data extraction, and the risk of bias was assessed using the 8-item Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross-Sectional Studies for cross-sectional studies and the Newcastle-Ottawa Scale for Cohort Studies for longitudinal studies.

Results

The study included a total of 14 articles, including 9 cross-sectional studies and 5 longitudinal studies. There was no clear consensus on the correlation between social support and frailty among community-dwelling older adults. The overall quality of the included studies was very high.

Conclusion

Although the correlation between social support and frailty among community-dwelling older adults needs further verification, given the important role of social support, it is still recommended that family members provide multi-faceted social support, especially subjective support, for older adults.

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来源期刊

Archives of gerontology and geriatrics 医学-老年医学

CiteScore

7.30

自引率

5.00%

发文量

198

审稿时长

16 days

期刊介绍： Archives of Gerontology and Geriatrics provides a medium for the publication of papers from the fields of experimental gerontology and clinical and social geriatrics. The principal aim of the journal is to facilitate the exchange of information between specialists in these three fields of gerontological research. Experimental papers dealing with the basic mechanisms of aging at molecular, cellular, tissue or organ levels will be published. Clinical papers will be accepted if they provide sufficiently new information or are of fundamental importance for the knowledge of human aging. Purely descriptive clinical papers will be accepted only if the results permit further interpretation. Papers dealing with anti-aging pharmacological preparations in humans are welcome. Papers on the social aspects of geriatrics will be accepted if they are of general interest regarding the epidemiology of aging and the efficiency and working methods of the social organizations for the health care of the elderly.