基于视频会议的干预措施缓解老年人社会隔离和孤独感的有效性和推荐策略：系统回顾和荟萃分析

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-04-15 DOI:10.1016/j.gerinurse.2025.03.042

Eun-Young Noh PhD , Juna Lee PhD , Hee Jung Kim PhD

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引用次数: 0

摘要

目的总结并更新有关视频会议干预措施在缓解老年人孤独感和社会隔离方面有效性的现有知识。方法 2024 年 2 月对 PubMed、Cochrane CENTRAL、EMBASE、CINAHL 和 PsycINFO 数据库进行了系统检索。两名研究人员独立进行了文献筛选、偏倚风险评估和数据提取。荟萃分析表明，干预对增强社会支持（SMD=0.40，CI=0.13~0.66）有显著的中小型效果，对减少孤独感（SMD=-0.30，CI=-0.50~-0.10）和抑郁症状（SMD=-0.34，CI=-0.57~-0.11）的效果较小。亚组分析表明，家庭互动被认为是针对孤独感的重要干预因素，而训练有素的专家的干预则是针对抑郁症状的关键因素。结论：本综述从全面的角度提供了有力的证据，证明基于视频会议的干预可以有效地应用于老年人心理健康管理的战略方法中。

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Effectiveness and recommendation strategies for videoconference-based interventions to alleviate social isolation and loneliness in older adults: A systematic review and meta-analysis

Objective

To summarize and update the current knowledge regarding the effectiveness of videoconference-based interventions in alleviating loneliness and social isolation among older adults.

Methods

A systematic search of the PubMed, Cochrane CENTRAL, EMBASE, CINAHL, and PsycINFO databases was performed in February 2024. Two researchers independently conducted literature screening, risk-of-bias assessment, and data extraction.

Results

Ten studies with 1034 participants were included. The meta-analysis indicated that interventions had a significantly small-to-medium effect on enhancing social support (SMD=0.40, CI=0.13 to 0.66) and small effect on reducing loneliness (SMD=−0.30, CI=−0.50 to −0.10) and depressive symptoms (SMD=−0.34, CI=−0.57 to −0.11). The subgroup analysis showed that familial interaction was identified as a significant intervention component for loneliness, whereas intervention by trained experts was pivotal for depressive symptoms.

Conclusion

This review provides robust evidence from a comprehensive perspective that videoconference-based interventions can be effectively applied as a strategic approach to manage mental health in older adults.

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.