在ADL护理中有效的护理干预措施影响独立性和舒适性 - - 一项系统性审查
S Cremer1, S Vluggen1, J M de Man-Van-Ginkel2
1Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands; Living Lab in Ageing and Long-Term Care, Maastricht, The Netherlands.
对日常生活活动 (ADL) 的护理干预表明了不同的结果. 虽然一些干预措施改善了独立性和舒适性,但整体证据仍然分散,为医疗保健专业人员提供了有限的指导.
科学领域:
- 护理科学 护理科学
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
背景情况:
- 经常提供日常生活活动 (ADL) 护理干预.
- 对它们对患者独立性和舒适性的有效性的证据基础尚不清楚.
研究的目的:
- 系统地审查ADL护理干预措施对成人的独立性和舒适性的影响,跨越各种护理环境.
主要方法:
- 随机对照试验和准实验研究的系统审查,通过对三个数据库的系统审查确定.
- 研究特征,效果和干预措施的叙述综合,带有偏差评估风险.
- 包括31项评估独立性,舒适性或两者的研究.
主要成果:
- 七次干预显著改善了独立性,七次干预显著改善了舒适性.
- 研究显示干预组件,结果指标和方法质量的高变化.
- 关于ADL护理干预对独立性和舒适性的影响的证据是零碎的和不确定的.
结论:
- 目前关于护理干预日常生活活动对独立性和舒适性的有效性的证据是不确定的.
- 研究的多样性和质量限制了为护理实践提供明确指导的能力.
- 需要进一步进行高质量的研究,以澄清特定的ADL护理干预措施的影响.
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