Summary of Best Evidence for Prevention of Recurrence of Late-life Depression

Background The recurrence rate of late-life depression is high, however, there is a lack of research on intervention protocol to prevent recurrence of late-life depression at home and abroad.In the early stage, the research group explored the risk factors for recurrence of late-life depression, and...

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Main Author: ZHA Qianqian, XU Lianying, CHEN Juan, HUANG Wen, ZHANG Xinqiong
Format: Article
Language:zho
Published: Chinese General Practice Publishing House Co., Ltd 2023-07-01
Series:Zhongguo quanke yixue
Subjects:
Online Access:https://www.chinagp.net/fileup/1007-9572/PDF/20220727.pdf
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author ZHA Qianqian, XU Lianying, CHEN Juan, HUANG Wen, ZHANG Xinqiong
author_facet ZHA Qianqian, XU Lianying, CHEN Juan, HUANG Wen, ZHANG Xinqiong
author_sort ZHA Qianqian, XU Lianying, CHEN Juan, HUANG Wen, ZHANG Xinqiong
collection DOAJ
description Background The recurrence rate of late-life depression is high, however, there is a lack of research on intervention protocol to prevent recurrence of late-life depression at home and abroad.In the early stage, the research group explored the risk factors for recurrence of late-life depression, and the controllable risk factors were poor medication compliance, less physical activity, and less eating. Objective To search, evaluate and summarize the evidence related to the prevention of recurrence of late-life depression based on the above three risk factors. Methods In October 2022, the evidences related to the prevention of recurrence of late-life depression were searched in Web of Science, PubMed, Cochrane Library, American Guide Network, British Guidebook, Website of Registered Nurses Association of Ontario (RNAO), Evidence-based Nursing Center of Fudan University, CNKI and other databases from inception to October 2022, which include guidelines, systematic reviews, expert consensuses, evidence summaries, etc. The quality of the included guidelines, systematic reviews, expert consensuses and original researches were evaluated by investigators trained in systematic evidence-based medicine using the Appraisal of Guidelines for Research & EvaluationⅡ (AGREEⅡ) Instrument, AMSTAR, and the Australian Joanna Briggs Institute (JBI) evidence-based center evaluation standards (2016 version), respectively. Finally, the 2014 Australian JBI evidence-based health care center evidence grading and recommendation level system was used to summary, evaluate and grade the evidence. Results A total of 15 articles were included, including 3 guidelines, 11 systematic reviews and 1 RCT. The qualities of the 3 guidelines were graded as B or above, the qualities of 11 systematic reviews were graded as medium or above, and the quality of 1 RCT was graded as B. A total of 24 best evidence items were summarized from 6 aspects of intervention evaluation, diets and nutrition, exercise and rehabilitation training, psychosocial interventions, medication compliance, and effect evaluation. Conclusion The study summarizes the best evidence for prevention of late-life depression, suggesting that clinical staff should comprehensively evaluate the patients, and develop individualized intervention program focus on evaluation, diets and nutrition, exercise and rehabilitation training, medication compliance guidance, and psychosocial interventions, combining with the characteristics of patients and diseases.
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spelling doaj.art-70db24f43f454a52b07a0763de4319372024-04-09T08:06:55ZzhoChinese General Practice Publishing House Co., LtdZhongguo quanke yixue1007-95722023-07-0126192332233810.12114/j.issn.1007-9572.2022.0727Summary of Best Evidence for Prevention of Recurrence of Late-life DepressionZHA Qianqian, XU Lianying, CHEN Juan, HUANG Wen, ZHANG Xinqiong01. Affiliated Psychological Hospital of Anhui Medical University/Anhui Mental Health Center, Hefei 230032, China;2. School of Nursing, Anhui Medical University, Hefei 230032, ChinaBackground The recurrence rate of late-life depression is high, however, there is a lack of research on intervention protocol to prevent recurrence of late-life depression at home and abroad.In the early stage, the research group explored the risk factors for recurrence of late-life depression, and the controllable risk factors were poor medication compliance, less physical activity, and less eating. Objective To search, evaluate and summarize the evidence related to the prevention of recurrence of late-life depression based on the above three risk factors. Methods In October 2022, the evidences related to the prevention of recurrence of late-life depression were searched in Web of Science, PubMed, Cochrane Library, American Guide Network, British Guidebook, Website of Registered Nurses Association of Ontario (RNAO), Evidence-based Nursing Center of Fudan University, CNKI and other databases from inception to October 2022, which include guidelines, systematic reviews, expert consensuses, evidence summaries, etc. The quality of the included guidelines, systematic reviews, expert consensuses and original researches were evaluated by investigators trained in systematic evidence-based medicine using the Appraisal of Guidelines for Research & EvaluationⅡ (AGREEⅡ) Instrument, AMSTAR, and the Australian Joanna Briggs Institute (JBI) evidence-based center evaluation standards (2016 version), respectively. Finally, the 2014 Australian JBI evidence-based health care center evidence grading and recommendation level system was used to summary, evaluate and grade the evidence. Results A total of 15 articles were included, including 3 guidelines, 11 systematic reviews and 1 RCT. The qualities of the 3 guidelines were graded as B or above, the qualities of 11 systematic reviews were graded as medium or above, and the quality of 1 RCT was graded as B. A total of 24 best evidence items were summarized from 6 aspects of intervention evaluation, diets and nutrition, exercise and rehabilitation training, psychosocial interventions, medication compliance, and effect evaluation. Conclusion The study summarizes the best evidence for prevention of late-life depression, suggesting that clinical staff should comprehensively evaluate the patients, and develop individualized intervention program focus on evaluation, diets and nutrition, exercise and rehabilitation training, medication compliance guidance, and psychosocial interventions, combining with the characteristics of patients and diseases.https://www.chinagp.net/fileup/1007-9572/PDF/20220727.pdfdepressive disorder|recurrence|aged|health services for the aged|evidence-based medicine
spellingShingle ZHA Qianqian, XU Lianying, CHEN Juan, HUANG Wen, ZHANG Xinqiong
Summary of Best Evidence for Prevention of Recurrence of Late-life Depression
Zhongguo quanke yixue
depressive disorder|recurrence|aged|health services for the aged|evidence-based medicine
title Summary of Best Evidence for Prevention of Recurrence of Late-life Depression
title_full Summary of Best Evidence for Prevention of Recurrence of Late-life Depression
title_fullStr Summary of Best Evidence for Prevention of Recurrence of Late-life Depression
title_full_unstemmed Summary of Best Evidence for Prevention of Recurrence of Late-life Depression
title_short Summary of Best Evidence for Prevention of Recurrence of Late-life Depression
title_sort summary of best evidence for prevention of recurrence of late life depression
topic depressive disorder|recurrence|aged|health services for the aged|evidence-based medicine
url https://www.chinagp.net/fileup/1007-9572/PDF/20220727.pdf
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