Shuo Peng, Hongzhi He, Xi Luo, Jingping Kang, Xinyi Wang, Yongqiong Tan
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引用次数: 0
摘要
目的：通过质性研究的meta-synthesis，评估老年体弱患者的真实经历和护理需求，为护理服务提供者、政策制定者和医学研究人员制定干预方案提供有价值的参考和见解。设计：检索自建库至2024年8月25日的PubMed、Web of Science、Scopus、Embase、CINAHL、PsycINFO。环境：老年体弱患者的真实经历和护理需求逐渐成为社会关注的焦点。定性研究对今后提高该类患者的护理服务质量具有重要意义。结果测量：采用乔安娜布里格斯研究所定性研究质量评估标准对纳入研究的质量进行评估。使用NVivo （v14）进行数据提取，并采用综合方法对结果进行综合。结果：15项研究纳入511例老年体弱患者。确定了三个主要主题：虚弱对老年患者身体、心理和行为方面的负面影响；对老年体弱患者现状的积极态度；以及体弱多病老年患者的多维护理需求。结论：老年人体弱多病在生理、心理、行为等方面面临多方面挑战，在专业服务和社会支持等方面存在护理需求。系统评审注册：https://www.crd.york.ac.uk/PROSPERO/view/CRD420251038626。
Real experiences and care needs of frail older patients: a systematic review of qualitative studies.
Objective: By conducting a meta-synthesis of qualitative research, this study evaluates the real experiences and care needs of frail older patients, providing valuable references and insights for care service providers, policymakers, and medical researchers in developing intervention programs.
Design: PubMed, Web of Science, Scopus, Embase, CINAHL, and PsycINFO were searched from the establishment of the databases to August 25, 2024.
Setting: The real experiences and care needs of frail older patients are gradually becoming the focus of social attention. Qualitative research is of great significance for improving the quality of care services for such patients in the future.
Outcome measures: The quality of the studies included was appraised using the Joanna Briggs Institute Quality Assessment of Qualitative Research criteria. Data extraction was performed using NVivo (v14), and results were synthesized using a meta-synthesis approach.
Results: 511 frail older patients were included in 15 studies. Three main themes were identified: the negative impact of frailty on the physical, psychological, and behavioral aspects of older patients; positive attitudes toward the current situation among frail older patients; and the multidimensional care needs of frail older patients.
Conclusion: Frail older adults face multidimensional challenges in physiology, psychology, and behavior, and have care needs in areas such as professional services and social support.
期刊介绍：
Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice.
Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.
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