Cash Tracee, Moyle Wendy, O'Dwyer Siobhan
Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia.
Optimising Health Outcomes, Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia.
Australas J Ageing. 2017 Sep;36(3):193-204. doi: 10.1111/ajag.12444. Epub 2017 Jul 6.
To undertake an integrative review of the literature on relationships between community aged care recipients, family carers and care providers under consumer-directed care (CDC).
Seven databases were systematically searched. Peer-reviewed and grey literature on CDC between 1998 and 2014 were assessed using an integrative literature review (ILR) framework. Search terms included CDC, self-directed care, direct payments, community aged care, community dwelling and older adults. Full-text copies were assessed against the inclusion criteria.
Fifteen studies met the inclusion criteria. This ILR found no research with a specific focus on caregiving relationships for older adults. The literature did however identify relational issues such as support, planning and provider attitude as fundamental to the success of CDC.
Relationships within the caregiving triad have important implications for the way CDC is enacted, particularly when the care recipient has dementia, suggesting this population as a priority for future research.
对以消费者导向型护理（CDC）模式下社区老年护理接受者、家庭照顾者与护理提供者之间关系的文献进行综合综述。
系统检索了七个数据库。采用综合文献综述（ILR）框架对1998年至2014年间关于CDC的同行评审文献和灰色文献进行评估。检索词包括CDC、自我导向型护理、直接付款、社区老年护理、社区居住和老年人。根据纳入标准对全文副本进行评估。
15项研究符合纳入标准。该综合文献综述未发现专门针对老年人护理关系的研究。然而，文献确实指出了诸如支持、规划和提供者态度等关系问题是CDC成功实施的基础。
护理三角关系对CDC的实施方式具有重要影响，尤其是当护理接受者患有痴呆症时，这表明该人群是未来研究的重点。
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