针对脆弱老年人的多学科住院社区康复计划:一个范围审查
Muireann McDonnell1, Mary Bell2, Fiona Lawler2
1School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland.
Nursing open
|November 15, 2024
概括
对虚弱老年人的住院多学科康复计划的证据有限. 目前的课程主要关注身体功能,忽视心理社会和生活质量结果,强调需要进一步研究.
科学领域:
- 老年人康复疗法 老年人康复治疗
- 基于证据的实践.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 脆弱的老年人往往需要专门的康复,以保持独立.
- 基于社区的康复计划旨在支持现场老龄化.
- 当前住院多学科计划的有效性和范围需要审查.
研究的目的:
- 审查现有的关于脆弱老年人的多学科住院社区康复计划的文献.
- 确定所描述的脆弱性康复计划,并评估其组成部分.
- 精确地发现成果指标中的知识差距和局限性.
主要方法:
- 使用乔安娜·布里格斯研究所的方法进行了范围审查.
- 进行了全面的文献搜索,包括主要数据库 (MEDLINE,PsychINFO,CINAHL,Cochrane图书馆).
- 还进行了有限的灰色文学搜索.
主要成果:
- 只有四篇文章符合纳入标准,揭示了老年人康复的异质方法.
- 康复干预主要集中在脆弱的老年人的身体功能上.
- 心理社会,认知,精神成果和生活质量的缺乏或有限的测量.
结论:
- 缺乏科学证据支持对旨在留在家中的脆弱老年人进行住院多学科康复计划的需求.
- 进一步的研究对于确定脆弱性康复服务的最佳形式,内容和交付模式至关重要.
- 综合性住院患者脆弱性康复可能会改善生活质量,减少住院病例.
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