澳大利亚为老年人提供的急症家庭护理(居家医院)的障碍、益处和促进因素:系统回顾

Natalie J. Bransgrove, Joanne E Porter, Blake Peck, Jaclyn Bishop
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引用次数: 0

摘要

确定澳大利亚老年人(65 岁及以上)接受急性居家护理的障碍、益处和促进因素。2023 年 9 月,我们利用各种数据库(CINAHL、Medline、PsycINFO、SCOPUS、Web of Science、PubMed、Informit)和引文检索,对澳大利亚 65 岁及以上接受急性居家护理的老年人进行了系统综述。采用批判性评估技能计划(CASP)评估证据的质量,并采用专题分析方法对结果进行叙述性综合。共纳入十项研究,其中大部分是大都市地区的队列研究。障碍包括疗效不佳、患者人口统计和护理人员。益处包括疗效、高满意度和医疗管理。促进因素包括教育、整体评估和支持干预。在文献中,有关澳大利亚农村地区老年人 HITH 的研究还存在很大差距。患者的治疗结果与入院路径密切相关。
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Barriers, Benefits, and Enablers of Acute Home-Based Care (Hospital In The Home) in Australia for Older People: A Systematic Review
To determine the barriers, benefits, and enablers of acute home-based care in Australia for older people (aged 65 and over). A systematic review for people aged 65 and over receiving acute home-based care in Australia was conducted using various databases (CINAHL, Medline, PsycINFO, SCOPUS, Web of Science, PubMed, Informit) and citation searching in September 2023. The Critical Appraisal Skills Program (CASP) was used to assess the quality of the evidence and a thematic analysis approach was utilized to narratively synthesize results. Ten studies were included, consisting mostly of cohort studies in metropolitan areas. Barriers included inefficacy, patient demographics, and carers. Benefits included efficacy, high satisfaction, and medical management. Enablers included education, holistic assessments, and support interventions. Within the literature there was a significant research gap regarding HITH for older people in rural areas of Australia. Patient outcomes were closely aligned with admission pathways.
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