Dou Xiaofan, Yao Lifeng, Xu Hai, Yan Ruijian, Dai Nannan, He Qiao
Center for Rehabilitation Medicine, Department of Orthopedics, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College, Hangzhou), Hangzhou, Zhejiang, PR China.
Department of Orthopedics and Traumatology, Hangzhou Hospital of Traditional Chinese Medicine (Hangzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Traditional Chinese Medicine), Hangzhou, Zhejiang, PR China.
Arch Gerontol Geriatr. 2025 Jun;133:105826. doi: 10.1016/j.archger.2025.105826. Epub 2025 Mar 10.
Older adults with frailty have an increased likelihood of unmet care needs, falls and fractures and so on, which brings serious burdens to society. By evaluating the association between physical frailty and social support in community-dwelling older adults, we will provide reference for preventing the occurrence of frailty.
Cross-sectional and longitudinal studies on association between frailty and social support in community-dwelling older adults were mainly searched from the database of Medline, Embase, PsycINFO, CINAHL Plus and Web of Science from their establishment to February 16, 2024. After literature screening, two researchers completed data extraction, and the risk of bias was assessed using the 8-item Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross-Sectional Studies for cross-sectional studies and the Newcastle-Ottawa Scale for Cohort Studies for longitudinal studies.
The study included a total of 14 articles, including 9 cross-sectional studies and 5 longitudinal studies. There was no clear consensus on the correlation between social support and frailty among community-dwelling older adults. The overall quality of the included studies was very high.
Although the correlation between social support and frailty among community-dwelling older adults needs further verification, given the important role of social support, it is still recommended that family members provide multi-faceted social support, especially subjective support, for older adults.
体弱的老年人未满足护理需求、跌倒和骨折等情况的可能性增加,这给社会带来了沉重负担。通过评估社区居住老年人身体虚弱与社会支持之间的关联,我们将为预防虚弱的发生提供参考。
主要从Medline、Embase、PsycINFO、CINAHL Plus和Web of Science数据库自建库至2024年2月16日搜索关于社区居住老年人虚弱与社会支持之间关联的横断面和纵向研究。经过文献筛选,两名研究人员完成数据提取,并使用用于横断面研究的8项乔安娜·布里格斯研究所分析性横断面研究批判性评价清单和用于纵向研究的队列研究纽卡斯尔-渥太华量表评估偏倚风险。
该研究共纳入14篇文章,其中9篇横断面研究和5篇纵向研究。对于社区居住老年人社会支持与虚弱之间的相关性尚无明确共识。纳入研究的整体质量非常高。
尽管社区居住老年人社会支持与虚弱之间的相关性需要进一步验证,但鉴于社会支持的重要作用,仍建议家庭成员为老年人提供多方面的社会支持,尤其是主观支持。