CN 11-5366/S     ISSN 1673-1530
“风景园林,不只是一本期刊。”

社区老年人自然干预措施范围综述

Nature-Based Interventions for Community-Dwelling Older Adults: A Scoping Review

  • 摘要:
    目的 健康老龄化是世界卫生组织(World Health Organization, WHO)提倡的一项优先政策,旨在创造能够支持老年人健康积极生活的环境,提高老年人的健康水平。目前,学界对自然干预措施(nature-based interventions, NBIs)的研究方兴未艾,NBIs日益受到科学家和学者的关注。
    方法 采用范围综述的方法探讨针对社区老年人的NBIs类型及其理论框架。运用史蒂芬斯数据库(EBSCOhost)对Academic Search Premier、Art & Architecture Complete、CINAHL Complete、Education Resources Information Center(ERIC)、GreenFILE、MEDLINE 6个数据库进行检索。检索文献的语种涵盖中、英文,但仅检索到英文文献,最终共纳入22篇文献进行分析。
    结果 关于老年人NBIs类型的研究成果较为多样化,但仅有3篇文献探讨了理论框架。尽管健康老龄化已被WHO列入全球国家政策议程的关键优先事项,但是检索到的文献都聚焦于个体健康,没有一篇侧重于老年群体的健康促进。
    结论 老年人是一个特殊群体,随着年龄的增长,身体机能会逐渐下降,然而他们有着个性化的需求,因此在为老年人制订健康促进计划时需要特别注意。研究人员和从业人员需要把握当前形势,以宏观、系统的视角来审视健康问题。

     

    Abstract:
    Objective 

    Active healthy ageing is a policy priority advocated by the World Health Organization (WHO). It involves proving the conditions to enable a heterogeneous older population to continuously engage in an active life. Efforts to promote nature-based interventions (NBIs), which are increasingly popular, are gaining traction amongst scientists and researchers.

    Methods 

    This scoping review examines the types of NBIs that are applied in health promotions for older adults in the community, and whether these studies were guided using a conceptual framework. The following six databases were searched via EBSCOhost: Academic Search Premier, Art & Architecture Complete, CINAHL Complete, Education Resources Information Center (ERIC), GreenFILE, and MEDLINE. All articles published in English and Chinese were included, but only articles in English were found. A total of 22 papers were included in the final analysis.

    Results 

    The NBIs for older adults were diverse, and only three papers discussed the use of models in guiding their study design. All 22 papers centered on individual health, and none focused on health promotions for older adults despite healthy active ageing having been on the WHO’s key health priority for national policy agendas worldwide.

    Conclusion 

    Older adults are a heterogeneous group with individualized needs as they age. Because of diminishing functional capabilities over time, special attention needs to be paid when designing health promotion programs for them. Researchers and practitioners need to be in tune with the current trend of viewing health from a bigger picture and consider the topic from a systems framework.

     

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