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护理学报 ›› 2024, Vol. 31 ›› Issue (1): 58-63.doi: 10.16460/j.issn1008-9969.2024.01.058

• 循证护理 • 上一篇    下一篇

失能老人“主动健康”影响因素的最佳证据总结

欧洋利1, 沈军1, 李淼2, 彭颖1, 廖晓艳1, 张虹3, 陈黎玉1   

  1. 1.重庆医科大学附属第一医院 护理部,重庆 400016;
    2.首都医科大学附属北京天坛医院 护理部,北京 100050;
    3.重庆护理职业学院,重庆 402763
  • 收稿日期:2023-09-04 出版日期:2024-01-10 发布日期:2024-02-19
  • 通讯作者: 沈军（1967-）,女,重庆人,硕士,主任护师,教授,硕士研究生导师。E-mail: sjun201541@163.com。
  • 作者简介:欧洋利（1999-）,女,四川广元人,本科学历,硕士研究生在读。
  • 基金资助:
    国家社会科学基金项目（22BRK010）

Best evidence summary for influencing factors of proactive health in disabled elderly people

OU Yang-li1, SHEN Jun1, LI Miao2, PENG Ying1, LIAO Xiao-yan1, ZHANG Hong3, CHEN Li-yu1   

  1. 1. Dept. of Nursing Administration, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China;
    2. Dept. of Nursing Administration, Beijing Tiantan Hospital Affiliated to Capital Medical University, Beijing 100050, China;
    3. Chongqing Nursing Vocational College, Chongqing 402763, China
  • Received:2023-09-04 Online:2024-01-10 Published:2024-02-19

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摘要： 目的 旨在系统检索、评价和整合失能老人“主动健康”影响因素的相关证据,为提高失能老人主动健康行为能力的相关策略提供参考。方法 采用“6S”证据模型,系统检索国内外中英文数据库及相关专业网站,检索时限为建库至2023年7月1日。由2名受过循证护理培训的研究者独立评价文献质量并提取证据。结果 共纳入21篇文献,包括1篇系统评价、2篇类实验性研究、10篇横断面研究、3篇质性研究、5篇综述。总结了包含“生命羸弱化、照护被动化、态度消极化、人际边缘化”4个类别的32条证据。结论 本研究科学、严谨且全面地总结了失能老人主动健康影响因素的最佳证据,医务、照护人员可以此证据为参考,有助于为失能老人提供个性化的医疗照护服务,提升其主动健康的意识和能力,进而改善其生活质量。

关键词: 失能老人, 主动健康, 循证护理学, 证据总结

Abstract: Objective To systematically retrieve, evaluate and integrate the evidence of influencing factors of proactive health of disabled elderly people, and provide reference for strategies to improve behavior of proactive health of disabled elderly people. Methods We searched Chinese and English databases and professional websites systematically by using “6S” evidence model. The retrieval period ranged from the inception of the databases to July 1,2023. Two researchers receiving training of evidence-based nursing independently evaluated the quality of the literature and extracted evidence. Results A total of 21 articles were collected, including 1 systematic review, 2 quasi-experimental studies, 10 cross-sectional studies, 3 qualitative studies and 5 reviews. Thirty-two pieces of evidence were summarized into four categories including life weakening, care passivity, attitude passivity, and interpersonal marginalization. Conclusion This study summarizes the best evidence for influencing factors of proactive health for disabled elderly people, which can be used as reference for medical and nursing staff to provide personalized medical care services for disabled elderly people, enhance their proactive health awareness and ability, thus to improve their quality of life.

Key words: disabled elderly people, proactive health, evidence-based nursing, evidence summary

中图分类号: 

  • R473.59
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