University of Pennsylvania,School of Nursing, Arlington, VA, USA.
Geriatr Nurs. 2010 Sep-Oct;31(5):331-47. doi: 10.1016/j.gerinurse.2010.03.003. Epub 2010 May 21.
This article examines the current evidence on models of acute care for hospitalized older people. The 3 models examined were Acute Care for Elders (ACE), Hospitalized Elder Life Program (HELP), and Nurses Improving Care for Health-System Elders (NICHE). Thirteen research reports examining these models of care were assembled from online search engines and used for this integrative literature review. Preliminary evidence suggests that all 3 programs may be effective at improving outcomes for hospitalized older people. However, more rigorous research is needed to determine which programs are most effective at improving clinical geriatric outcomes in different settings. Recommendations for additional research, use of the models in clinical nursing practice, and nursing implications of the models.
本文探讨了目前关于住院老年人急性护理模式的证据。所检查的 3 种模式为老年人急性护理（ACE）、住院老年生活计划（HELP）和护士改善医疗系统老年人护理（NICHE）。从在线搜索引擎中收集了 13 份研究报告，用于这篇综合文献综述。初步证据表明，所有 3 种方案都可能有效改善住院老年人的结局。然而，需要更严格的研究来确定哪些方案在不同环境下最有效地改善临床老年结局。建议进行更多的研究，在临床护理实践中使用这些模式，以及这些模式对护理的影响。
