我国失能老人居家护理需求质性研究的Meta整合  

Needs for home care for the disabled elderly in China:a meta-synthesis of qualitative studies

作　　者：罗欣[1] 肖峰[1,2] 杜星瑶[1] 赵庆华 Luo Xin;Xiao Feng;Du Xingyao;Zhao Qinghua(Nursing Department,the First Hospital of Chongqing Medical University,Chongqing 400016,China;Nursing Department,the Affiliated Yongchuan Hospital of Chongqing Medical University,Chongqing 402160,China)

机构地区：[1]重庆医科大学附属第一医院护理部,重庆400016 [2]重庆医科大学附属永川医院护理部,重庆402160

出　　处：《中华现代护理杂志》2025年第5期596-602,共7页Chinese Journal of Modern Nursing

基　　金：国家社会科学基金(21BRK013);中国卫生人才培养项目(RCLX2320042)。

摘　　要：目的系统评价我国失能老人居家护理需求,为开展以失能老人需求为导向的居家护理服务提供参考。方法计算机检索PubMed、Web of Science、Embase、Cochrane Library、中国知网、维普网、万方数据库和中国生物医学文献数据库中有关我国失能老人居家护理服务需求的质性研究,检索时限为建库至2024年3月9日。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心制订的质性研究质量评价标准(2016)对纳入文献进行方法学质量评价。采用汇集性整合方法对质性研究结果进行分析。结果共纳入12篇文献,提炼出43个结果,归纳形成8个新类别,综合得出2个结果,即医护康养需求(专业护理需求、康复锻炼需求、健康指导需求和心理疏导需求)和支持性需求(政策支持需求、居家环境需求、服务资源需求和生活护理需求)。结论失能老人对居家护理存在多方面需求,建议组建多学科团队、采用多主体整合照护模式等措施满足居家失能老人的需求。ObjectiveTo systematically evaluate the home care needs of the disabled elderly in China,to provide a reference for developing home care services oriented to the needs of the elderly.MethodsQualitative studies on the need for home care services for the disabled elderly in China were electronically searched in PubMed,Web of Science,Embase,Cochrane Library,China National Knowledge Infrastructure,VIP,WanFang Data,and China Biology Medicine disc.The search time limit was from the tstablishment of the database to March 9,2024.The methodological quality of the included literature was evaluated using the quality evaluation criteria for qualitative research(2016)of the Joanna Briggs Institute Evidence-Based Health Care Center.The results of the qualitative study were analyzed using the convergent integration method.ResultsA total of 12 articles were included,and 43 outcomes were distilled,summarized to form eight new categories,and synthesized to produce two outcomes,including medical care and rehabilitation needs(professional nursing needs,rehabilitation and exercise needs,health guidance needs,and psychological guidance needs),and supportive needs(policy support needs,home environment needs,service resource needs,and life care needs).ConclusionsDisabled elderly have multifaceted needs for home care.It is recommended that a multidisciplinary team be formed and a multi-pronged integrated care model be adopted to meet the needs of the disabled elderly living at home.

关 键 词：老年人 失能 居家护理 需求 定性研究 Meta整合 

分 类 号：R473.2[医药卫生—护理学]