Research On The Elderly Health Intervention Basing Of The Evidence-based Practice

The aging is now tendency of the global population.With the tendency, it arouses widespread academic's interest on making the elderly health in aging process. Factors that affect and interfere with elderly healthy are complex. Why some people with chronic diseases could have been able to live actively until death, but some other people who were ill and collapsed, have caused great pain and burden to themself, family and society? Which interventions are not only economic, operational, but also better for health and longevity? How does the humanity achieve the goal of positive aging? This problem is not only in medicine and biology area, but also in demographic and social sciences. Physical, mental and social integrity of the elderly problem always lead to social, economic and other related issues. Therefore, this study focuses on interventions for the health problems of the elderly population to alleviate social aging problem.At present, there are various measures and evaluations for elderly health intervention, however, Evidence-based practice as a common worldwide methodology of evidence production and evaluation, which is considered a reliable scientific way and attracting more and more Chinese policy-makers and the different areas of the researchers' eyes. This research is based on the theory of evidence-based practice, and carrying out health intervention in elderly population. Specifically, this research consists six sections.Section1and Section2are the research foundation, which briefly introduces the research background and purpose, contents, methodologies, innovations, limitations and the theory basis in the research, defines the fundamental concepts and reviews the related researches. Section3reviews and analyzes the theories and content of elderly health intervention and evidence-based practice, and proposed theoretical framework of the research. Then, it arises out the scientific insight for population health behavior intervention research by evidence-based practice thinking. Section4is the evidence search and evaluation, In this section, it assesses the effectiveness of the interventions targeting elderly social isolation. A systemic review was conducted through searching10relevant databases, such as Cochrane Library, China National Knowledge Infrastructure and unpublished thesis. The randomized controlled trials (RCTs) were screened from784original studies according to set inclusion criteria, and assessed with the Cochrane risk of bias tool. Then narrative synthesis was used to summarize and interpret the interventions. The evaluation indices included3dimensions, namely, structural social support, social support and loneliness. Resultly,20RCTs (n=3104) were included in the review,18RCTs were at low or medium risk of bias,12studies reported promotion as least in one dimension,9group intervention and3individual interview intervention reported improvement. This research focuses on each real example, trying to clarify these misunderstandings and fallacy, promoting the development of the systematic review in the field of health decisions. Section5is the implementation and application of evidence. Study on the effect of the individual health behavior intervention on the elderly in Sichuan Province. We take Chengdu City Jinniu District jiulidi north Road community elderly service center as urban sample and take the Nanchong city Luxi love elderly service station as rural sample. We have carried out6month-long personalized health intervention experiments in the urban and rural sample spot, finally carried on the appraisal to the personalized health intervention effect by behavior questionnaire and SF-36.Finally in the section6, we promote strategies and recommendations of elderly population health intervention basing on evidence-based practice.This research has some innovation including theoretical analysis, technical method, and structural consideration. However, there are several limitations in this research. When we use of the evidence from systematic review, due to the limitation of research conditions, the intervention content was not only focus on social isolation but also some other health behaviors. Also, there may be certain inclusion bias and selection bias. Some future improvement has to be made based on current research.