哪些干预措施使老年人无法进入养老院? 一个系统的审查和元分析
Joseph E Gaugler1, Rachel Zmora2, Colleen M Peterson3
1Division of Health Policy & Management, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
Journal of the American Geriatrics Society
|August 1, 2023
概括
专业的老年医疗护理,多元干预和认知刺激有助于老年人避免入住养老院. 这些策略支持老年人有复杂需求的老龄化目标.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 基于证据的实践.
背景情况:
- 养老院入院是医疗保健和社区计划的一个重要结果.
- 老年人更喜欢在现场老龄化,即使有复杂的护理需求.
研究的目的:
- 评估药理和非药理干预措施在预防65岁及以上老年人入院的有效性.
主要方法:
- 进行了全面的元分析,搜索了多个数据库 (MEDLINE,EMBASE,PsycInfo,CINAHL,Cochrane Library) 到2022年3月.
- 两名独立审稿人选了摘要并收集了数据,不同意见通过协商一致解决.
- 干预措施被分类,并使用AHRQ指南评估偏差风险.
主要成果:
- 分析包括283项研究,涉及203735名老年人.
- 专业老年医疗护理 (OR=0.77),多组件干预 (OR=0.82),和认知刺激 (OR=0.60) 与减少住院入院的病例有显著相关性.
- 基于家庭和住院/出院管理干预措施没有显示机构化的统计显著减少.
结论:
- 实施老年护理原则可以促进现场衰老,这对于老年人来说是一个非常理想的结果.
- 专门的老年医疗护理,多组件干预和认知刺激是防止入院治疗的有效策略.
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