在初级医疗保健中实施老年人综合护理:系统范围审查
Mingyao Sun1, Jingyi Liu1, Mo Yi1
1School of Nursing, Peking University, Beijing, China.
International journal of nursing studies
|January 23, 2026
概括
初级医疗保健中的综合护理对老年人来说是有前途的,特别是通过护理协调和以团队为基础的方法. 可扩展模型利用现有的资源和数字工具,但实施缺口仍然存在,特别是在资源有限的环境中.
科学领域:
- 老年学与公共卫生
- 医疗保健系统研究 医疗保健系统研究
- 综合护理模式 综合护理模式
背景情况:
- 全球人口老龄化为初级卫生保健带来了复杂的挑战.
- 综合护理是通过协调,以人为中心的服务促进健康老龄化的有希望的策略.
- 关于在初级卫生保健机构实施综合护理的综合证据有限.
研究的目的:
- 绘制全球综合护理的实施地图,用于初级医疗保健中老年人.
- 确定综合护理干预措施的可扩展组件.
- 为加强初级医疗保健系统提供实践和政策信息.
主要方法:
- 对60岁以上个人在初级医疗保健中的干预措施的范围审查.
- 对PubMed,Embase和CINAHL (过去10年) 的系统搜索.
- 提取数据的叙述综合和频率分析.
主要成果:
- 来自26个国家的181项研究;大多数干预措施是多学科和基于社区的.
- 关键组成部分:护理协调 (67%),体育活动 (40%),健康教育 (38%),心理社会支持 (29%).
- 88%的研究报告了积极的结果,但执行忠实性和公平性被不一致地评估,低收入和中等收入国家的数据有限.
结论:
- 综合护理,专注于协调和以人为中心的规划,对老年人有很大的潜力.
- 可扩展的模型利用现有的初级保健资源,社区卫生工作者和数字工具.
- 解决实施忠实性,可持续性和公平性至关重要,特别是在资源有限的环境中,以促进全球健康老龄化.
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