摘要
目的 评价并总结社区老年人肌少症非药物干预的相关证据,为指导社区护理人员有效管理老年肌少症患者提供依据.方法 计算机检索BMJ Best Practice、UpToDate、国际指南协作网、英国国家卫生与临床优化研究所网站、苏格兰学院际指南协作网、加拿大安大略注册护士协会网站、加拿大医学会临床实践指南网、美国营养学会、澳大利亚JBI循证卫生保健中心数据库、CINAHL、PubMed、Cochrane Library、Web of Science、CBM、CNKI、WanFang Data和VIP数据库中关于社区老年肌少症患者非药物干预的所有证据,包括指南、专家共识、临床决策、系统评价、证据总结、Meta分析等,检索时限为2019年1月1日至2024年5月31日.结果 共纳入14篇文献,包括2篇指南,3篇专家共识,9篇系统评价,汇总了肌少症筛查、评估和综合干预3个方面,共24条证据.结论 本研究总结了社区老年肌少症患者初期筛查、系统评估和非药物综合干预的最佳证据,为社区护理人员高效管理老年肌少症患者提供了参考和借鉴.
Abstract
Objective To evaluate and summarize the evidence related to non-pharmacological interventions in community-dwelling elderly with sarcopenia and to provide an evidence-based basis for guiding community health professionals to effectively manage older patients with sarcopenia.Methods We searched all evidence about non-pharmacological interventions in community-dwelling elderly with sarcopenia from BMJ Best Practice,UpToDate,Guidelines International Network,National Institute for Health and Care Excellence,Scottish Intercollegiate Guidelines Network,Registered Nurses'Association of Ontario,Canadian Medical Association Clinical Practice Guidelines Infobase,American Society for Nutrition,Australian JBI Evidence-Based Health Care Centre Database,CINAHL,PubMed,Cochrane Library,Web of Science,CBM,CNKI,WanFang Data and VIP Databases.The types of literature included guidelines,expert consensus,systematic reviews,evidence summaries and meta-analyses.The retrieval time ranged from January 1,2019 to May 31,2024.Results A total of 14 publications were included,including 2 guidelines,3 expert consensuses,and 9 systematic reviews.Twenty-four pieces of evidence were summarized in 3 areas,including screening,assessment,and non-pharmacological interventions for sarcopenia.Conclusion We summarize the best evidence for initial screening,systematic assessment,and comprehensive non-pharmacological interventions for elderly patients with sarcopenia in the community,and provide a guidance and reference for community medical staff to efficiently manage elderly patients with sarcopenia.
维普
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