The effectiveness of nurse-led interventions to manage frailty in community-dwelling older people: a systematic review

Systematic Reviews

Research

Shu-Chun Lee¹  Victoria Traynor²  Peta Drury²  Ayele Semachew Kasa³  Hui-Chen (Rita) Chang⁴ 

[1] School of Gerontology and Long-Term Care, College of Nursing, Taipei Medical University, Taipei, Taiwan;School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, Australia;School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, Australia;Department of Adult Health Nursing, School of Health Sciences, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia;School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, Australia;School of Nursing and Midwifery, Western Sydney University, Parramatta South Campus, Parramatta, NSW, Australia;

关键词: Nurse-led;    Frailty;    Education;    Training;    Older people;   

DOI  :  10.1186/s13643-023-02335-w

 received in 2022-09-30, accepted in 2023-08-25,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe global increase in the number of frail older people and the accompanying increase in chronic conditions underline the need to develop effective health promotion and preventive interventions for these population groups. Wide ranging of physical, psychological, and social health factors influence frailty in older people and leads to increased vulnerability to many adverse outcomes. To reverse or reduce the progression of frailty, nurses play a pivotal role in delivering health promotion and preventive interventions. The purpose of the review is to determine the effectiveness of nurse-led interventions in reducing frailty in community-dwelling older people.MethodsThe following electronic databases: PubMed, MEDLINE, Web of Science, SCOPUS, CINAHL, PsychInfo, and WHO Global Index Medicus were searched until June 2022. Nurse-led, "nurse led", education, training, intervention, program, teaching, frail*, fragile*, "frailty syndrome", debility, infirmity, elder*, aged*, old*, geriatric, "community based settings", "community-based", "community setting", community were the search terms. Before data extraction, eligible articles were assessed for their methodological quality. The JBI critical appraisal checklist for reporting experimental studies was utilised to appraise the methodological quality of the studies. Data were systematically examined using a narrative review to determine the effectiveness of the intervention.ResultsOf the 156 studies identified, from the search, six studies with samples ranging from 40 to 1387 older people were eligible for inclusion in the review. Two quasi-experimental studies and one Randomised Controlled Trial (RCT) showed a moderate risk of bias. The Nurse-led frailty interventions used a multi-component intervention approach across the studies. The interventions reversed frailty progression, improve physical functioning, nutritional status, and quality of life, enhance perceptions of social support, improve mental health, and reduce depression.ConclusionsFew studies have explored the effectiveness of a nurse-led intervention to decrease frailty in older people. Evaluating physical functioning, nutritional status, mental health, and quality of life in community-dwelling frail older people can contribute to developing appropriate interventions.Systematic review registrationPROSPERO ID of CRD42022348064.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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