摘要
目的 检索、评价并汇总社区老年人肌少症非药物管理的相关证据,为制订科学、有效的老年人肌少症健康管理方案提供循证依据.方法 按照"6S"证据资源金字塔模型,根据PIPOST原则构建循证问题,检索UpToDate、JBI循证卫生保健中心、Cochrane Library、DynaMed、国际指南网、加拿大安大略注册护士协会指南网、梅斯指南网、医脉通、PubMed、CINAHL、Web of Science、中国知网、万方医学网、中华医学会期刊全文数据库中关于老年人肌少症非药物管理的相关证据,检索时间为2018年1月1日至2023年11月1日.结果 共纳入20篇文献,包括1篇临床决策、2篇指南、7篇专家共识、10篇系统评价或meta分析.总结出包括筛查与评估、膳食营养管理、运动指导和健康教育4个方面的42条证据,其中A级推荐25条,B级推荐17条.结论 医护人员应结合实际情况、医疗条件和患者个体因素选择最佳证据,指导老年肌少症患者安全有效地改善生活方式,提高生活质量.
Abstract
Objective To retrieve,evaluate and summarize the related evidences on non-pharmacological management of sarcopenia in community-dwelling older adults to provide an evidence-based basis for formula-ting a scientific and effective health management program for sarcopenia in older adults.Methods According to the"6S"evidence resource pyramid model,the UpToDate,JBI Center for Evidence-based Health Care,Co-chrane Library,DynaMed,Guidelines International Network,Registered Nurses'Association of Ontario,Med-Sci,Yimaitong,PubMed,CINAHL,Web of Science,CNKI,Wanfang,and CBM for evidence related to the non-pharmacological management of sarcopenia in older adults.The retrival time was from January 1,2018 to No-vember 1,2023.Results A total of 20 literatures were included,including 1 clinical decision,2 guidelines,7 expert consensuses and 10 systematic evaluations or meta analysis.Forty-two pieces of evidence were summa-rized in 4 aspects including screening and assessment,dietary and nutritional management,exercise guidance and health education,in which there were 25 recommendations for the level A and 17 recommendations for Level B.Conclusion Medical staff should select the best evidence by combining with the actual situation,medical conditions and individual factors of the patients,and guide elderly patients with sarcopenia to improve their lifestyle and quality of life safely and effectively.
维普
万方数据