Leegaard Marit, Utne Inger, Halvorsrud Liv, Valeberg Berit Taraldsen, Torbjørnsen Astrid, Bjørnnes Ann Kristin, Bjørge Heidi, Grov Ellen Karine, Løyland Borghild
Faculty of Health Sciences, Department of Nursing and Health Promotion, Oslo and Akershus University of Applied Sciences, Oslo, Norway.
Health Soc Care Community. 2018 May;26(3):e321-e328. doi: 10.1111/hsc.12447. Epub 2017 Mar 28.
In the last two decades, quality of life and health-related quality of life have become commonly used outcome measures in the large number of studies evaluating healthcare and home care nursing. The objective of this systematic search and review was to evaluate studies that include self-rated generic quality of life instrument used among elderly patients receiving home care nursing. Searches were conducted in Medline, Embase, PsycINFO and Cinahl for articles published between January 2005 and June 2016, with 17 studies in eight countries meeting the inclusion criteria and assessed for quality. Overall, the review shows great variations in the included studies regarding characteristics of the participants and place of origin, the generic quality of life instruments applied and their dimensions. In this review, we raise the question of whether the generic questionnaires used to measure quality of life do in fact measure what is essential for quality of life in elderly users of home care nursing. The psychological and physical dimensions of quality of life were assessed in almost all included studies, while older-specific dimensions like autonomy, control and sensation were less frequently assessed. There is reason to believe that generic quality of life instruments frequently do not capture the dimensions that are most important for elderly people with health problems in need of home care nursing.
在过去二十年中，生活质量和健康相关生活质量已成为大量评估医疗保健和家庭护理的研究中常用的结果指标。本系统检索和综述的目的是评估那些纳入了在接受家庭护理的老年患者中使用的自评通用生活质量工具的研究。我们在Medline、Embase、PsycINFO和Cinahl数据库中检索了2005年1月至2016年6月发表的文章，有来自八个国家的17项研究符合纳入标准并接受了质量评估。总体而言，综述显示纳入研究在参与者特征、来源地、所应用的通用生活质量工具及其维度方面存在很大差异。在本综述中，我们提出了一个问题，即用于测量生活质量的通用问卷是否真的能够测量出家庭护理老年使用者生活质量的关键要素。几乎所有纳入研究都评估了生活质量的心理和身体维度，而诸如自主性、掌控力和感知等针对老年人的维度则较少被评估。有理由相信，通用生活质量工具常常无法涵盖对需要家庭护理的健康问题老年人群最重要的维度。
