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对多种长期疾病的养老院居民的息需求和模型:系统性审查和叙事综合
Kathryn Elliott-Smith1, Felicity Dewhurst2, Charlotte Stenson2
1Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK kathryn.elliott-smith@newcastle.ac.uk.
BMJ supportive & palliative care
|October 24, 2025
概括
患有多种长期疾病 (MLTC) 的养老院的老年人有复杂的息护理需求. 目前的息护理模式是有限的,没有足够和不公平的准入,需要扩展证据.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 养老院对于老年人的终身护理至关重要.
- 居民经常有多种长期疾病 (MLTC),导致复杂的需求.
- 在这种环境中提供息护理是具有挑战性的,可能会让需求未得到满足.
研究的目的:
- 综合关于有MLTC的养老院居民的息护理需求的证据.
- 识别和评估现有的和拟议的缓和护理模型,为这一群体.
主要方法:
- 系统性审查与叙事综合.
- 在五个主要的数据库中进行了搜索 (MEDLINE,Embase,Scopus,PsycINFO,CINAHL).
- 包括经过严格选和质量评估后的18项研究.
主要成果:
- 居民表现出复杂,不可预测的健康轨迹.
- 确定了重要的身体,功能和情感需求.
- 获得息治疗的机会是不充分和不公平的;护理模式是有限的.
结论:
- 患有MLTC的养老院居民具有复杂的息护理需求.
- 现有的息护理模式是不够的,并且无法公平地获得.
- 这些模型的证据基础需要大幅扩展.
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