长期护理机构中老年人以人为本的护理:系统文献综述

J. Yee, Marina Celly Martins Ribeiro Souza, Natália de Cássia Horta, Constance Kartoz
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引用次数: 3

摘要

以人为本的护理(PCC)是从传统的生物医学框架转变为强调老年人个性化偏好、能力和优势的护理方法。本系统文献综述旨在描述长期护理机构(ltcf)老年人PCC的研究现状。进行搜索的方法包括使用5个一致的关键字以及添加各种描述符术语来帮助缩小搜索范围。在满足所有纳入标准后,共有18篇文章在最终审查中进行了讨论。结果显示了机构老年人PCC的总体有益结果,在实施PCC时优先考虑居民偏好的重要性,以及居民和工作人员对各自ltcf中PCC状况的看法,以及他们认为的障碍和促进因素。确定最主要的共同偏好是提供个性化的PCC服务的第一步,这将提高生活在ltcf中的老年人的护理质量和生活质量。此外,考虑到工作人员和居民的观点将改善长期医疗中心的PCC环境,从而实现更好的护理结果。
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Person-Centered Care for Older Adults living in Long-term care facilities: A Systematic Literature Review
Person-centered care (PCC) is the empowering approach of ho-listic care that shifts from a traditional biomedical framework to one that emphasizes older adults’ personalized preferences, abilities, and strengths. This systematic literature review aimed to describe the current status of research on PCC for older adults living in long-term care facilities (LTCFs). The method that conducted the search involved using 5 consistent keywords along with adding various descriptor terms to help narrow the search. A total of 18 articles were discussed in the final review after meeting all of the inclusion criteria. The results showed overall beneficial outcomes of PCC for institutionalized older adults, the importance of prioritizing residents’ preferences when implementing PCC, and perspectives of residents and staff workers on the state of PCC in their respective LTCFs, as well as what they think are barriers and facilitators. Identifying what the top shared preferences are is the first step to providing individualized PCC delivery that will improve the quality of care and quality of life for older adults living in LTCFs. Furthermore, taking into account both staff and residents’ perspectives will lead to an improved PCC climate in LTCFs that will enable better care outcomes.
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