韩国老年人长期护理服务使用与生活质量的系统文献综述

Seokho Hong, Guoyan Zhang, Eunha Jang
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摘要

随着老年人数量的迅速增加,为提高老年人的生活质量和减轻家庭赡养负担而推出的长期护理保险已经存在了15年。本研究的目的是通过系统综合长期护理服务对老年人生活质量的实证研究,为提高老年人的生活质量奠定理论基础。本研究在KCI、RISS、2008年7月1日至2022年4月1日发表的电子文章三个网络数据库中,结合关键词和检索了1797篇文献。采用纳入和排除标准对文献进行纳入和排除,最终选取30篇文献进行分析。因此,首先,将与长期护理服务相关的变量分为三个因素(机构、服务和个人因素)是可行的。第二,确认老年人的生活质量除了受到制度因素的影响外,还受到服务满意度和个人因素的直接或间接影响。第三,老年人的生活质量与人口统计学特征、身体功能、主观健康状况、情绪/心理和社会功能显著相关。根据研究结果,提出了切实可行的政策建议和后续研究方向,以提高老年人使用长期护理服务的生活质量。
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A Systematic Literature Review of Long-Term Care Service Use and Quality of Life Among Korean Elderly
As the numbers of elderly people are rapidly increasing, long-term care insurance, introduced to elevating the quality of life of the elderly and relieve the burden of their families’ support, has been in existence for 15 years. The purpose of this study was to build a theoretical foundation for elevating the quality of life of the elderly, by systematically synthesizing empirical studies on the quality of life of the elderly using long-term care services. In this study, 1,797 documents were searched by combining keywords such as and in three web databases of KCI, RISS, and e-articles published July 1, 2008-April 1, 2022. The final 30 documents were selected and analyzed, by applying the inclusion and exclusion criteria to the literature. As a result, first, it was feasible to categorize variables related to long-term care services into three factors (institutional, service, and individual factors). Second, it was confirmed that the quality of life of the elderly was directly or indirectly impacted by service satisfaction, as well as individual factors, in addition to institutional factors. Third, it was found that the quality of life of the elderly was significantly related to demographic characteristics as well as physical function, subjective health status, emotional/ psychological, and social function. Based on the results, practical and policy recommendations and follow-up research directions are suggested, to improve the quality of life of the elderly using long-term care services.
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