促进社区老年人获得长期护理的干预措施:范围审查
Jinbao Zhang1, Alan Dargan1, Wenjing Zhang2
1Personal Social Services Research Unit, University of Kent, England, UK.
Research on aging
|September 17, 2025
概括
改善老年人获得长期护理的机会至关重要. 这次审查确定了早期识别和综合护理等干预措施,以帮助导航复杂的系统并满足各种需求.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 由于复杂的医疗保健系统,获得长期护理 (LTC) 服务给社区老年人带来了重大挑战.
- 及时和适当地获得LTC对于保持老龄化人口的独立性和生活质量至关重要.
研究的目的:
- 系统地识别和分类旨在提高社区老年人获得长期护理的干预措施.
- 综合现有LTC接入干预措施的战略,交付方法和目标人群的证据.
主要方法:
- 在五个主要数据库中进行了全面的系统文献搜索.
- 包括在2013年至2023年期间发表的研究,重点是改善社区老年人获得LTC的干预措施.
- 确定的干预措施被分为四种主要类型:早期识别,综合护理,伙伴关系和其他.
主要成果:
- 16项研究符合纳入标准,发现干预措施主要集中在早期识别 (n=6) 和综合护理 (n=5) 上.
- 常见的干预策略包括提供信息,推服务和协调护理,通常由医疗保健专业人员针对高风险个体.
- 值得注意的是,重点关注的是养老院的入院,不太重视其他LTC服务和老年人的各种需求.
结论:
- 干预措施有效地利用早期识别和综合护理等策略,以解决老年人LTC访问障碍.
- 未来的研究应该调查干预的持续时间,对服务利用的影响,以及非医疗保健专业人员在改善LTC访问中的作用.
- 调整干预措施以适应晚年或特定健康状况的老年人,及早解决未满足需求,是发展的关键领域.
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