【摘要】 目的采用Meta分析方法系统评价我国老年人健康促进生活方式行为现状。方法利用网络数据库检索PubMed、ProQuest、EMbase、中国生物医学文献数据库、中国知网全文数据库、中国科技期刊数据库和万方数据库,检索2000年1月至2016年12月关于老年人健康促进生活方式文献。采用Stata 11.0软件进行分析。结果共纳入15篇文献,文献总体质量较好。总样本量为5639,男性2739名,女性2900名。我国老年人健康促进生活方式行为总分SMD=129.376,95%CI(122.959,135.792);健康责任得分SMD=20.506,95%CI(18.615,22.396);体育运动得分SM D=16.718,95%CI(15.165,18.271);营养得分SM D=23.084,95%CI(21.402,24.766);精神成长得分SMD=21.444,95%CI(19.449,23.438);人际关系得分SMD=22.006,95%CI(20.117,23.896);压力管理得分SMD=20.119,95%CI(18.481,21.757),合并效应量均具有统计学意义(P<0.05)。中部地区老年人健康促进生活方式行为水平高于东部、西部地区,社区老年人健康促进生活方式行为水平高于养老机构老年人。老年人健康行为方式水平随时间、样本量、抽样方法而有所不同,但不呈现规律性变化。结论我国老年人健康促进生活方式行为处于中等水平,所处地区和居住环境影响老年人健康行为。更多还原

【Abstract】 Objective To know the current status of health promotion lifestyle in the elderly aged 60 years or above over through meta-analysis. Methods Databases including PubMed,ProQuest,EMbase,CNKI,Wanfang,etc were searched to find the publications from January 2000 to December 2016 on the topic of health promotion lifestyle in the elderly. Meta-analysis was conducted using Stata 11.0 software. Results Fifteen studies were finally identified. A total of 5639 older people were included(male:2739,female:2900). The SMD of health promotion lifestyle was 129.376 with 95%CI( 122.959,135.792). The SMD was 20.506 with 95%CI( 18.615,22.396)for health responsi bility, 16.718 with 95%CI( 15.165,18.271)for sports activities,23.084 with 95%CI(21.402,24.766) for nutrition,21.444 with 95%CI(20.117,23.896)for self-actualization,22.006 with 95%CI(20.117,23.896) for interpersonal relations,and 20.119 with 95%CI(18.481,21.757)for stress management. The SMD of older people in central regions was higher than that of older people in eastern and western regions. Older people lived in communities had higher health promotion lifestyle level than those in nursing homes. Their health promotion lifestyle changed with the time,sample size and sampling method,however,the change was not regular. Conclusion The health promotion lifestyle of the elderly in China is on the medium level. It differs with regions and living places.更多还原