中国老年人群死亡焦虑影响因素meta分析  

Correlates of death anxiety among elderly people in China:a meta-analysis

作　　者：赵妹 陈欧[1] 王珊 王雅琦 吴方 王克芳[1] ZHAO Mei;CHEN Ou;WANG Shan(School of Nursing,Shandong University,Ji'nan,Shandong Province 250012,China)

机构地区：[1]山东大学护理学院,250012

出　　处：《中国公共卫生》2020年第11期1636-1639,共4页Chinese Journal of Public Health

基　　金：山东大学青年科学基金(IFYT1811)。

摘　　要：目的采用meta分析的方法探讨中国老年人死亡焦虑的影响因素。方法计算机检索Pubmed、Web of Science核心合集、Scopes、中国期刊全文数据库(CNKI)、中国生物医学文献数据库(CBM)、维普期刊全文数据库(VIP)和万方数据库中自建库至2018年8月关于中国老年人死亡焦虑影响因素研究的文献,采用RevMan5.3和stata14.1软件对符合条件的文献进行Meta分析。结果最终纳入文献14篇,总样本量为4969例。研究结果显示受教育程度(SMD=0.12,95%CI=0.03~0.21)、家庭谈论死亡情况(SMD=-0.63,95%CI=-1.00^-0.26)、有无慢性病(SMD=-0.47,95%CI=-0.71^-0.23)、养老方式(SMD=-0.80,95%CI=-1.56^-0.03)是老年人死亡焦虑的影响因素,但关于家庭谈论死亡情况的结果可能存在发表偏倚。结论受教育程度小学及以下、家庭中从未谈论死亡或谈论时有不舒服氛围、有慢性病、居家养老的老年人死亡焦虑水平更高。Objective To explore influencing factors of death anxiety among elderly residents in China using metaanalysis method.Methods The seven electronic databases(PubMed,Web Of Science,Scopus,China National Knowledge Infrastructure[CNKI],Chinese Biomedical Literature Database[CBM],VIP Database for Chinese Technical Periodicals[VIP]and Wan Fang Database)were searched for studies reporting influencing factors of death anxiety among the elderly in China published in Chinese or English till August 2018.The included studies were analyzed using RevMan 5.3 and Stata 14.1 software.Results A total of 14 studies with 4969 participants were included.The analysis identified following correlates of death anxiety among Chinese elderly people:education(standardized mean difference[SMD]=0.12,95%confidence interval[95%CI]:0.03,0.21),discussion about death issues among family members(SMD=-0.63,95%CI:-1.00--0.26),whether suffering from chronic illnesses(SMD=-0.47,95%CI:-0.71--0.23),and pattern of elderly care received(home-based or in pension institution)(SMD=-0.80,95%CI:-1.56--0.03).There may be a publication bias for studies on the influences of discussion about death issues among family members on death anxiety.Conclusion For the elderly in China,those with following characteristics are at a higher level of death anxiety:with the education of primary school or lower,never having or having an unpleasant discussion on death issues with family members,suffering from a chronic disease,or under home-based elderly care.

关 键 词：老年人 死亡焦虑 META分析 

分 类 号：R339.39[医药卫生—人体生理学]