ABSTRACT

Abuse and neglect among older adults impact everyone and are recognized internationally as significant and growing public health issues. A systematic review of reviews was conducted to identify effective strategies and approaches for preventing abuse and neglect among older adults. Eligible reviews were systematic or meta-analyses; focused on the older population as reported in the publications; reviewed prevention interventions; included relevant violence and abuse outcomes; written in English; and published in a peer-reviewed journal between January 2000 and May 2020. Eleven unique reviews (12 publications) met the eligibility criteria, including one meta-analysis. Included reviews mainly focused on general abuse directed toward older adults; and educational interventions for professional and paraprofessional caregivers, multidisciplinary teams of health care and legal professionals, and families. Interventions were implemented in a variety of community and institutional settings and addressed primary, secondary, and tertiary prevention. The reviews indicated weak or insufficient evidence of effectiveness in preventing or reducing abuse, yet several promising practices were identified. Future research is needed to evaluate emerging and promising strategies and approaches to prevent abuse among older adults. Effective interventions are also needed to prevent or reduce abuse and neglect among older adults.

摘要

老年人中的虐待和忽视影响到每个人，并被国际公认为重要且日益严重的公共卫生问题。对评价进行了系统审查，以确定预防老年人虐待和忽视的有效策略和方法。符合条件的评价是系统或荟萃分析；以出版物中报道的老年人口为重点；审查预防干预措施；包括相关的暴力和虐待结果；用英文写的；并在 2000 年 1 月至 2020 年 5 月期间发表在同行评审期刊上。 11 篇独特的评论（12 篇出版物）符合资格标准，包括一项荟萃分析。包括的评论主要集中在针对老年人的一般性虐待；对专业和准专业护理人员的教育干预，由医疗保健和法律专业人员以及家庭组成的多学科团队。在各种社区和机构环境中实施了干预措施，并涉及一级、二级和三级预防。审查表明在预防或减少滥用方面的有效性证据薄弱或不足，但确定了一些有希望的做法。未来的研究需要评估新兴的和有希望的策略和方法，以防止老年人遭受虐待。还需要有效的干预措施来预防或减少老年人的虐待和忽视。审查表明在预防或减少滥用方面的有效性证据薄弱或不足，但确定了一些有希望的做法。未来的研究需要评估新兴的和有希望的策略和方法，以防止老年人遭受虐待。还需要有效的干预措施来预防或减少老年人的虐待和忽视。审查表明在预防或减少滥用方面的有效性证据薄弱或不足，但确定了一些有希望的做法。未来的研究需要评估新兴的和有希望的策略和方法，以防止老年人遭受虐待。还需要有效的干预措施来预防或减少老年人的虐待和忽视。