虚拟病房为脆弱的人:什么是有效的,为谁,如何和为什么-一个快速的现实主义审查

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Maggie Westby^1,2, Sharea Ijaz^1,2, Jelena Savović^1,2

¹The National Institute for Health and Care Research, Applied Research Collaboration West (NIHR ARC West), University Hospitals Bristol NHS Foundation Trust, Bristol BS1 2NT, UK.

|March 14, 2024

概括

虚拟病房 (VWs) 为脆弱的个人提供在家的护理,减少住院治疗. 有效的VW需要明确的标准,信息共享和多学科的团队,以积极主动地管理脆弱性.

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
数字健康数字健康

背景情况:

虚拟病房 (VWs) 为处于急性住院风险较高的脆弱个体提供基于家庭的多学科护理.
关于各种大众汽车模型在脆弱性管理方面的有效性现有的证据是不一致的.
了解推动大众汽车效率的机制对于优化护理提供至关重要.

研究的目的:

确定各种虚拟病房模型,用于脆弱性管理.
阐明大众汽车可以有效管理脆弱性的机制和背景.

主要方法:

进行了对已出版和灰色文献的快速现实主义审查.
对多学科VW的证据被合成为上下文-机制-结果配置.
临床医生和患者/公众的投入被纳入了合成.

主要成果:

包括17个同行评审和11个灰色文献文件.
大众汽车可以是短期的 (1-21天) 或长期的 (3-7个月).
有效运营需要标准化协议,信息共享,远程多学科团队规划和协调. 关键的患者/护理人员因素包括沟通,家庭护理经验和赋权.

结论:

调查结果可以指导实施和评估用于脆弱性护理的VW.
在全面的医疗系统方法中结合急性和长期VW的混合模型可能是最有效的.
积极主动的护理策略对于预防与脆弱相关的危机至关重要.

关键词:

急性护理急性护理急性护理脆弱脆弱脆弱脆弱脆弱这是一个多学科的多学科教育.老年人年长的人.积极主动的护理服务.定性研究是指质量研究.虚拟病房是一个虚拟病房.

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