在机构护理环境中对老年虐待研究的全球方法:系统审查
Maria Agaliotis1, Tracey Morris2, Ilan Katz3
1School of Health Sciences, Western Sydney University, Campbelltown Campus, New South Wales, Australia.
PloS one
|March 10, 2025
概括
在老年护理中测量员工对居民的虐待是具有挑战性的,因为定义和方法各不相同. 本次审查强调了这些不一致性,并提出了一个标准化的老年护理滥用研究清单 (ACARC),以改善数据和住院护理.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
背景情况:
- 在机构环境中虐待老年人,特别是员工对居民的虐待,被低估了.
- 定义和应对滥用的挑战阻碍了准确的测量和干预.
研究的目的:
- 系统地审查实证研究,衡量长期护理机构的员工对居民的虐待.
- 发现现有研究中使用的定义,报告和测量工具中的不一致性.
主要方法:
- 按照PRISMA指南进行系统审查,搜索10个数据库 (2005年1月至2024年6月).
- 包括由各种来源报告的定义滥用类型 (WHO) 的研究,并进行批判性评估.
- 分析了来自8个国家的22项研究,研究了员工对居民的虐待.
主要成果:
- 在研究中的定义,报告来源和测量工具中存在显著的异质性.
- 研究质量不一致,根据来源 (亲属,工作人员,居民,登记处) 报告的滥用率有所不同.
- 报告最多的身体虐待,描述和回忆时间不同;员工目击的虐待率差异很大.
结论:
- 方法上的差异阻碍了对老年护理虐待的全球流行率估计.
- 开发老年护理滥用研究检查清单 (ACARC) 以标准化方法.
- 标准化旨在改善早期干预,减少虐待的复发,并加强居民护理和工作场所文化.
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