针对老年人可避免的护理过渡的评估工具:一个系统的文献综述
Rustem Makhmutov1, Alicia Calle Egusquiza2, Cristina Roqueta Guillen2,3
1Medical Faculty, Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Magdeburger Straße 8, 06112, Halle (Saale), Germany. rustem.makhmutov@uk-halle.de.
European geriatric medicine
|November 29, 2024
概括
识别可避免的护理过渡对于患者和医疗保健系统负担至关重要. 本综述描述了48个评估工具,并指出没有一个是完全全面的,但可以帮助老年人的临床决策.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健管理的管理
- 临床决策支持 临床决策支持
背景情况:
- 可避免的护理转型给患者和医疗保健系统带来了巨大的负担.
- 存在许多评估工具来识别这些过渡,但选择是具有挑战性的.
- 老年人在护理过渡期间特别容易受到伤害.
研究的目的:
- 系统地识别和描述对老年人护理过渡的评估工具.
- 帮助利益关方选择适当的工具,以便就可避免的转型做出决策.
- 提供现有评估工具的全面概述.
主要方法:
- 在MEDLINE (PubMed),CINAHL和CENTRAL进行了系统的文献搜索.
- 在搜索中没有应用日期或语言限制.
- 最初确定了1266个参考文献,最终包括了58篇文章.
主要成果:
- 总共确定了48种不同的护理转换评估工具.
- 这些工具在概念,判断过程和所涵盖的过渡目的地方面各不相同.
- 工具所涉及的维度的全面性存在显著差异.
结论:
- 没有一个单一的评估工具可以全面覆盖所有相关维度.
- 评估工具应该补充,而不是取代,在实践中临床判断.
- 这一审查可以指导临床医生和研究人员选择工具,以确定可避免的护理过渡,并支持决策.
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