心血管疾病老年患者社会隔离影响因素及管理策略进展

doi:10.16460/j.issn1008-9969.2023.14.042

摘要/Abstract

摘要： 目的分析心血管疾病老年患者社会隔离的影响因素,提出管理策略,为相关研究或制定临床干预对策提供参考依据。方法检索国内外相关文献,从影响因素和管理策略进行总结和分析,并提出展望。结果心血管疾病老年患者社会隔离发生的影响因素包括：人口学变量、生活活动能力下降与慢病共存状态、衰弱和消极情绪、家庭环境、社会环境。管理策略包括：同伴支持干预、团队心理干预、社会网络干预、心脏康复、动物辅助干预等。结论未来可结合我国心血管疾病老年患者情况,全面分析我国心血管疾病老年患者社会隔离的影响因素和社会需求;构建有效的社会隔离管理方案减轻其社会隔离感。

关键词: 社会隔离, 老年人, 心血管疾病, 综述

中图分类号:

R473.54

崔芸荟, 王宇, 马平萍, 郭鑫鑫, 杨巧芳. 心血管疾病老年患者社会隔离影响因素及管理策略进展[J]. 护理学报, 2023, 30(14): 42-45.

参考文献

[1] 刘维林. 《新时代积极应对人口老龄化发展报告——中国老龄化社会20年:成就·挑战与展望》序言二[C]//: 中国老年学和老年医学学会2021年学术大会--积极应对人口老龄化:推动养老事业和养老产业协同发展, 中国北京, 2021.DOI:10.26914/c.cnkihy.2021.075356.
[2] 马丽媛, 王增武, 樊静, 等. 《中国心血管健康与疾病报告2021》要点解读[J]. 中国全科医学, 2022,25(27):3331-3346.
[3] 马丽媛, 王增武, 樊静, 等. 《中国心血管健康与疾病报告2021》概要[J]. 中国介入心脏病学杂志, 2022,30(7):481-496.
[4] Paquet C, Whitehead J, Shah R, et al.Social prescription interventions addressing social isolation and loneliness in older adults: Meta-review integrating on-the-ground resources[J]. J Med Internet Res, 2023, 25:e40213.DOI:10.2196/40213.
[5] Freak-Poli R, Phyo A, Hu J, et al. Are social isolation, lack of social support or loneliness risk factors for cardiovascular disease in Australia and New Zealand? A systematic review and Meta-analysis[J]. Health Promot J Austr, 2022,33 Suppl 1(Suppl 1):278-315.DOI:10.1002/hpja.592.
[6] Christiansen J, Lund R, Qualter P, et al.Loneliness, social isolation, and chronic disease outcomes[J]. Ann Behav Med, 2021,55(3):203-215.DOI:10.1093/abm/kaaa044.
[7] Kraav SL, Awoyemi O, Junttila N, et al.The effects of loneliness and social isolation on all-cause, injury, cancer, and CVD mortality in a cohort of middle-aged Finnish men. A prospective study[J]. Aging Ment Health,2021,25(12):2219-2228.DOI:10.1080/13607863.2020.1830945.
[8] Fakoya OA, McCorry NK, Donnelly M. How do befriending interventions alleviate loneliness and social isolation among older people? A realist evaluation study[J].PLoS One, 2021,16(9):e256900.DOI:10.1371/journal.pone.0256900.
[9] Cené CW, Leng XI, Faraz K, et al.Social isolation and incident heart failure hospitalization in older women: women's health initiative study findings[J]. J Am Heart Assoc, 2022,11(5):e22907.DOI:10.1161/JAHA.120.022907.
[10] Alcaraz KI, Eddens KS, Blase JL, et al.Social isolation and mortality in us black and white men and women[J]. Am J Epidemiol, 2019,188(1):102-109.DOI:10.1093/aje/kwy231.
[11] 杨春晓,尹文强,李秋莎,等. 社会隔离对老年人医疗服务利用的影响——基于中国家庭追踪调查数据的实证研究[J]. 现代预防医学, 2021,48(24):4461-4466.
[12] 王欣欣,张呈蕊,栾伟. 上海市社区老年人社会隔离及其影响因素调查[J]. 中国预防医学杂志, 2023:1-8.
[13] Naito R, Leong DP, Bangdiwala SI, et al.Impact of social isolation on mortality and morbidity in 20 high-income, middle-income and low-income countries in five continents[J]. BMJ Glob Health, 2021,6(3).DOI:10.1136/bmjgh-2020-004124.
[14] Bu F, Steptoe A, Fancourt D.Relationship between loneliness, social isolation and modifiable risk factors for cardiovascular disease: a latent class analysis[J]. J Epidemiol Community Health,2021,75(8):749-754.DOI:10.1136/jech-2020-215539.
[15] Freak-Poli R, Hu J, Phyo A, et al.Does social isolation, social support or loneliness influence health or well-being after a cardiovascular disease event? a narrative thematic systematic review[J]. Health Soc Care Community, 2022,30(1):e16-e38.DOI:10.1111/hsc.13427.
[16] Adachi T, Tsunekawa Y, Tanimura D.Association among mild cognitive impairment, social frailty, and clinical events in elderly patients with cardiovascular disease[J]. Heart Lung, 2022,55:82-88.DOI:10.1016/j.hrtlng.2022.04.011.
[17] Proietti M, Cesari M.Frailty: What is it?[J]. Adv Exp Med Biol, 2020,1216:1-7.DOI:10.1007/978-3-030-33330-0_1.
[18] Mehrabi F, Béland F.Effects of social isolation, loneliness and frailty on health outcomes and their possible mediators and moderators in community-dwelling older adults: a scoping review[J]. Arch Gerontol Geriatr, 2020,90:104119.DOI:10.1016/j.archger.2020.104119.
[19] Golaszewski NM, LaCroix AZ, Godino JG, et al. Evaluation of social isolation, loneliness, and cardiovascular disease among older women in the US[J]. JAMA Netw Open, 2022,5(2):e2146461.DOI:10.1001/jamanetworkopen.2021.46461.
[20] Khalaila R, Vitman-Schorr A.Social support and loneliness among frail older adults attending daycare centers: A multicultural study in Israel[J].Arch Gerontol Geriatr, 2021,97:104486.DOI:10.1016/j.archger.2021.104486.
[21] 王宁, 季红, 宋菲菲, 等. 丧偶老年人社会隔离的研究进展[J]. 护理研究, 2022,36(2):260-265.
[22] 范榕, 刘瑶, 白亚丽, 等. 老年人社会隔离与社区卫生服务利用的关系[J]. 中国老年学杂志, 2021,41(22):5120-5123.
[23] Sterling MR, Ringel JB, Pinheiro LC, et al.Social determinants of health and 30-day readmissions among adults hospitalized for heart failure in the REGARDS Study[J]. Circ Heart Fail, 2022,15(1):e8409.DOI:10.1161/circheartfailure.121.008409.
[24] Clayton C, Motley C, Sakakibara B.Enhancing social support among people with cardiovascular disease: a systematic scoping review[J]. Curr Cardiol Rep, 2019,21(10):123.DOI:10.1007/s11886-019-1216-7.
[25] Tamura K, Vijayakumar NP, Troendle JF, et al.Multilevel mobile health approach to improve cardiovascular health in resource-limited communities with step it up: a randomised controlled trial protocol targeting physical activity[J]. BMJ Open, 2020, 10(12):e40702.DOI:10.1136/bmjopen-2020-040702.
[26] Visseren F, Mach F, Smulders YM, et al.2021 ESC guidelines on cardiovascular disease prevention in clinical practice: developed by the task force for cardiovascular disease prevention in clinical practice with representatives of the european society of cardiology and 12 medical societies with the special contribution of the European Association of Preventive Cardiology (EAPC)[J]. Rev Esp Cardiol (Engl Ed), 2022,75(5):429.DOI:10.1016/j.rec.2022.04.003.
[27] Holdgaard A, Eckhardt-Hansen C, Lund T, et al.Intensive group-based cognitive therapy in patients with cardiac disease and psychological distress-a randomized controlled trial protocol[J]. Trials, 2021,22(1):455.DOI:10.1186/s13063-021-05405-3.
[28] 袁冰, 解莉莉, 张凯, 等. 团队心理疏导对老年慢性心力衰竭弹性心理及生活质量影响[J].中国健康心理学杂志, 2021, 29(9):1345-1348.DOI:10.13342/j.cnki.cjhp.2021.09.015.
[29] 李洁, 楚鑫, 孙姝. 团体心理护理模式对冠心病PCI患者不良情绪及应对方式的影响[J]. 心理月刊, 2021,16(2):101-102.DOI:10.19738/j.cnki.psy.2021.02.049.
[30] Denton F, Waddell A, Kite C, et al.Remote maintenance cardiac rehabilitation (MAINTAIN): a protocol for a randomised feasibility study[J].Digit Health,2023,9:589795888.DOI:10.1177/20552076231152176.
[31] Audrey L, Véronique D.Web-based nursing intervention to promote healthy lifestyle of older adults living with coronary artery disease: protocol for a mixed method pilot study[J]. Stud Health Technol Inform, 2022, 290:1028-1029.DOI:10.3233/SHTI220251.
[32] Baman JR, Sekhon S, Maganti K.Cardiac rehabilitation[J]. JAMA, 2021,326(4):366.DOI:10.1001/jama.2021.5952.
[33] Bozkurt B, Fonarow GC, Goldberg LR, et al.Cardiac rehabilitation for patients with heart failure: JACC expert panel[J]. J Am Coll Cardiol, 2021,77(11):1454-1469.DOI:10.1016/j.jacc.2021.01.030.
[34] Patti A, Merlo L, Ambrosetti M, et al.Exercise-based cardiac rehabilitation programs in heart failure patients[J]. Heart Fail Clin, 2021, 17(2):263-271.DOI:10.1016/j.hfc.2021.01.007.
[35] Prabhakaran D, Chandrasekaran AM, Singh K, et al.Yoga-based cardiac rehabilitation after acute myocardial infarction: a randomized trial[J]. J Am Coll Cardiol, 2020,75(13):1551-1561.DOI:10.1016/j.jacc.2020.01.050.
[36] Burr M, Buntich J, Gonzalez M, et al.Robotic animal-assisted therapy as a complementary therapy in clinical practice:exploring animal-assisted intervention professional perspectives[J].Complement Ther Clin Pract, 2023,52:101767.DOI:10.1016/j.ctcp.2023.101767.
[37] 刘小琳, 高隽. 动物辅助干预在老年群体中的应用[J]. 中国临床心理学杂志, 2021,29(3):656-660.DOI:10.16128/j.cnki.1005-3611.2021.03.043.
[38] Park S, Bak A, Kim S, et al.Animal-assisted and pet-robot interventions for ameliorating behavioral and psychological symptoms of dementia: a systematic review and Meta-analysis[J]. Biomedicines, 2020,8(6).DOI:10.3390/biomedicines8060150.
[39] Veilleux A.Benefits and challenges of animal-assisted therapy in older adults: a literature review[J]. Nurs Stand, 2021,36(1):28-33.DOI:10.7748/ns.2020.e11625.

Metrics

Viewed

Full text

Abstract

Cited

Shared