Weiwei Fang, Hai Phung, Richard Olley, Patricia Lee
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引用次数: 0
Abstract
Background/objectives: The global population is aging rapidly, increasing the need for appropriate health care. Older people often prefer to remain in their homes for as long as possible as they age. Therefore, it is crucial to assess their overall health and understand the individualized care needs for developing tailored home care services. This systematic review aims to examine the major domains of a range of assessment tools used for older people receiving home care services.
Methods: A systematic search of Medline and PsycINFO via Ovid, CINAHL via EBSCO, Web of Science, and Scopus was conducted to identify studies investigating assessment of older people requiring home care services. The literature findings were systematically synthesized and classified using the International Classification of Functioning, Disability and Health (ICF) by the World Health Organization (WHO).
Results: A total of 32 studies were included in the systematic review. Three primary categories were identified based on the WHO ICF classification system: (1) body functions, (2) activities and participation, and (3) environmental factors. Body functions included physical functions and mental functions. Mobility, self-care, and domestic life were three major aspects within the ICF category of activities and participation. Regarding the environmental factors, support, relationships, and services provided to older people were commonly considered in the included studies. Among them, the most assessed domains were physical, psychological, cognitive, functional, and nutritional assessment.
Conclusions: The synthesis of findings in this review reveals major domains in various assessment tools, contributing to the development of a comprehensive framework to guide the assessment for older people requiring home care services.
背景/目标：全球人口正在迅速老龄化，增加了对适当保健的需求。随着年龄的增长，老年人往往喜欢尽可能长时间地呆在家里。因此，评估他们的整体健康状况和了解个性化护理需求对于开发量身定制的家庭护理服务至关重要。这个系统的审查的目的是检查的主要领域的一系列评估工具用于老年人接受家庭护理服务。方法：系统检索Medline和PsycINFO（通过Ovid）， CINAHL（通过EBSCO）， Web of Science和Scopus（通过Scopus）进行检索，以确定调查评估老年人需要家庭护理服务的研究。采用世界卫生组织（WHO）的国际功能、残疾和健康分类（ICF）对文献结果进行了系统的综合和分类。结果：系统评价共纳入32项研究。根据WHO ICF分类系统确定了三个主要类别：(1)身体功能；(2)活动和参与；(3)环境因素。身体机能包括身体机能和心理机能。流动性、自我照顾和家庭生活是ICF活动和参与类别中的三个主要方面。关于环境因素，在纳入的研究中通常考虑为老年人提供的支持、关系和服务。其中，评估最多的领域是身体、心理、认知、功能和营养评估。结论：本综述的综合研究结果揭示了各种评估工具的主要领域，有助于建立一个全面的框架来指导需要家庭护理服务的老年人的评估。
期刊介绍：
Healthcare (ISSN 2227-9032) is an international, peer-reviewed, open access journal (free for readers), which publishes original theoretical and empirical work in the interdisciplinary area of all aspects of medicine and health care research. Healthcare publishes Original Research Articles, Reviews, Case Reports, Research Notes and Short Communications. We encourage researchers to publish their experimental and theoretical results in as much detail as possible. For theoretical papers, full details of proofs must be provided so that the results can be checked; for experimental papers, full experimental details must be provided so that the results can be reproduced. Additionally, electronic files or software regarding the full details of the calculations, experimental procedure, etc., can be deposited along with the publication as “Supplementary Material”.
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