在家庭护理的老年人中感染的风险因素:混合方法系统审查与元分析
Ann Liljas1, Madelene Barboza2, Carmela Basanisi2
1Department of Global Public Health, Karolinska Institutet , 171 77, Stockholm, Sweden. ann.liljas@ki.se.
BMC public health
|May 3, 2025
概括
在家庭护理中对老年人进行感染控制至关重要. 关键风险包括尿导管的使用,有限的流动性和环境因素,突出了全面预防策略的必要性.
科学领域:
- 老年学是一门学科.
- 感染控制 感染控制
- 公共卫生 公共卫生
背景情况:
- 家庭护理服务,包括家庭医疗保健和家庭帮助,在全球范围内越来越普遍.
- 老年人是一个脆弱的人群,需要在家庭环境中考虑具体的感染控制措施.
研究的目的:
- 系统地审查和综合对老年人家庭护理中的感染控制至关重要的因素.
- 为了确定个人,医疗,行为和环境的感染风险因素在这个人群.
主要方法:
- 对五个数据库 (MEDLINE,Embase,ProQuest,科学网,CINAHL) 的系统审查.
- 包括研究在任何研究设计中,报告相关因素.
- 使用乔安娜·布里格斯研究所手册进行质量评估;对定性数据进行元聚合,对定量数据进行元分析.
主要成果:
- 分析发现尿导管使用 (OR 3.97) 和有限的运动 (OR 1.49) 与感染风险增加之间存在显著的关联.
- 定性发现突出了感知和观察到的风险,包括态度,行为,家庭环境,个人互动,设备,垃圾处理,物和培训缺陷.
- 尿失禁在综合分析中没有显示出与感染风险的统计学意义上的关联.
结论:
- 跨越个人,环境和组织方面的多个相互关联的因素,有助于在家里照顾老年人的感染风险.
- 尿导管的使用和有限的流动性是显著的可修改的风险因素.
- 针对行为,环境,培训和设备的综合方法对于在家庭护理环境中有效预防感染至关重要.
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