摘要
目的 系统评价中国社区老年人社会隔离的现状及危险因素.方法 计算机检索中国知网、万方数据库、维普网、中国生物医学文献数据库、PubMed、Embase、Web of Science和Cochrane Library数据库中关于我国社区老年人社会隔离的相关研究,检索时限为建库至2023年8月1日.由2名研究者独立进行文献筛选、质量评价、数据提取,采用Stata 17.0软件对社区老年人社会隔离的发生率及危险因素进行Meta分析.结果 最终纳入文献29篇,共49 713例样本.Meta分析结果显示,中国社区老年人社会隔离发生率为29.5％,其中高龄、大专以下学历、自评健康较差、缺乏运动锻炼、慢病共存、日常生活活动能力受损、听力减退、抑郁、无配偶、低家庭关怀度、低社会支持、低社会参与度是社区老年人发生社会隔离的主要危险因素(OR值为1.57～3.34,均P＜0.05).结论 中国社区老年人社会隔离发生率高,危险因素较多.医护人员应加强对老年人社会隔离的早期筛查,并针对其危险因素进行早期干预.
Abstract
Objective To systematically review the current situation and risk factors of social isolation among elderly people in Chinese communities.Methods The research on social isolation of elderly people in Chinese communities was electronically searched on China National Knowledge Infrastructure,WanFang Data,VIP,China Biology Medicine disc,PubMed,Embase,Web of Science,and Cochrane Library.The search period was from database establishment to August 1,2023.Two researchers independently conducted literature screening,quality evaluation,and data extraction,and used Stata 17.0 software to conduct Meta-analysis on the incidence and risk factors of social isolation among elderly people in the community.Results A total of 29 articles were included,with a total of 49 713 samples.Meta-analysis showed that the incidence of social isolation among elderly people in Chinese communities was 29.5％.Advanced age,education below college level,poor self-rated health,lack of exercise,coexistence of chronic diseases,impaired daily living activities,hearing loss,depression,lack of spouse,low family care,low social support,and low social participation were the main risk factors for social isolation among elderly people in the community(OR ranging from 1.57 to 3.34,P＜0.05).Conclusions The incidence of social isolation among elderly people in Chinese communities is high,and there are many risk factors.Medical and nursing staff should strengthen early screening for social isolation among the elderly and provide early intervention for the risk factors.
维普
万方数据