在慢性阻塞性肺病 (COPD) 的老年人中进行护士领导/参与的家庭干预:混合方法系统审查
Lucillie Silahis Sturm1, Sarah Yeun-Sim Jeong2, Michelle Giles3
1Planned Care for Better Health, Community and Aged Care Services, Hunter New England Local Health District, Adamstown, New South Wales, Australia.
Journal of clinical nursing
|January 20, 2025
概括
护士主导的COPD家庭干预措施显示了一些好处,但需要更多的研究. 患者希望得到整体的,长期的支持,护士们希望这些关键计划得到更好的管理支持.
科学领域:
- 老年学是一门学科.
- 肺部病理学 肺部病理学
- 护理科学 护理科学
背景情况:
- 慢性阻塞性肺病 (COPD) 显著影响老年人的生活质量.
- 探索基于家庭的干预措施,以管理老龄化人口中的COPD.
- 护士在提供这些干预措施中的作用是重点关注的重点.
研究的目的:
- 对老年COPD患者进行护士主导/参与的家庭干预措施的有效性进行评估.
- 了解患者和护士对这些干预措施的经验.
主要方法:
- 一个混合方法的系统审查,遵循JBI的方法.
- 在多个数据库 (CINAHL,MEDLINE等) 进行了搜索. 对于从2010年到2023年进行的研究.
- 包括护士领导/参与的家庭COPD干预的英语报告,使用融合分离方法合成数据.
主要成果:
- 在各种研究设计中确定了七项干预措施.
- 干预措施在减少住院和成本方面表现出一定效果,但研究结果在统计学上并不显著.
- 患者重视支持,但希望得到更全面,更长期的护理;有些人认为干预是"双刃剑".
结论:
- 现有的护士主导的COPD家庭干预措施提供了部分益处,但需要进一步调查.
- 患者更喜欢全面的,长期的支持,突出需要更全面的方法.
- 未来的研究应该使用更大的样本大小和标准化的结果措施来获得确的证据.
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