自主导的家庭和社区服务改善了家庭护理人员的结果:系统性审查
Supakorn Kueakomoldej1, Emily Dinelli1, Molly Beestrum2
1Center for Education in Health Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
自主指导使老年人和残疾人能够选择他们的服务和护理人员. 这种方法对家庭护理人员的福祉产生了积极的影响,并减少了他们的未满足需求.
科学领域:
- 老年学是一门学科.
- 关于残疾人的研究.
- 护理人员支持护理人员支持
背景情况:
- 自主指导使老年人和残疾人能够控制自己的家庭和社区服务.
- 这种模式包括选择个人护理人员的自主权,提高接受者结果.
- 自我指导对家庭护理人员的影响需要进行彻底的调查.
研究的目的:
- 系统地审查自我指导对各种家庭护理人员结果的影响.
- 综合证据,说明更多的选择和控制如何影响护理人员的福祉.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 文献搜索包括8个数据库,使用Joanna Briggs研究所的检查清单进行批判性评估.
- 在GRADE框架中,评估了证据的确定性.
主要成果:
- 十六项研究表明,自我指导适度地改善了护理人员的个人和社会福祉.
- 护理人员报告说,未满足的需求较少,接受者更容易获得护理.
- 有证据表明,休息护理的使用和继续照顾护理的意图增加,尽管确定性较低.
结论:
- 自主指导不仅有利于服务接受者,而且还增强了家庭护理人员的福祉和支持系统.
- 促进服务提供中的自主性会对护理人员的体验产生积极的影响.
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