ปัจจัยกำหนดที่เกี่ยวข้องกับสุขภาพจิตของผู้สูงอายุที่อาศัยอยู่ตามลำพัง ในชุมชนเมือง: ระเบียบการทบทวนอย่างเป็นระบบ

Abstract

Objectives: There is a limited understanding about the factors that are related to the mental health of older adults living alone in urban communities. All available evidence was synthesized to better understand the factors related to the mental health of this group of older adults. Method: A systematic search of the following databases in Medline, Web of Science, Cochrane Library, CINAHL, PsycINFO, and TCI databases was carried out from January 2010 to May 2021. Observational studies, which had investigated older adults (60 years of age and over), who were living alone in urban communities were eligible for review. Two reviewers independently screened and selected the data; one reviewer extracted the data, while the second checked the extracted data. A narrative synthesis described the quality and content of the evidence. The included studies were appraised using the relevant Joanna Briggs Institute checklist. Results: Our findings suggested that there is a potential association between socio-economics, health status, physical activities, social isolation, social support, loneliness, living alone, and mental health, which was found in the studies. Our findings were limited given that the number of studies, which were included, was low and the quality of evidence varied across the studies. Conclusion : The results showed that all included studies found socio-economics, including gender, health status, income, educational level, social support, and social isolation had been associated with the mental health of older adults living alone. Consequently, social welfare policies should focus on those for support services enhanced quality of life for these groups.