Post-Graduate Program in Nursing,Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Florianopolis, SC 88040-900, Brazil; Post-Graduate Program in Dentistry, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Florianopolis, SC 88040-900, Brazil.
Post-Graduate Program in Nursing,Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Florianopolis, SC 88040-900, Brazil.
Int J Nurs Stud. 2018 Jan;77:130-137. doi: 10.1016/j.ijnurstu.2017.08.013. Epub 2017 Nov 5.
To conduct a systematic review of the literature on valid and reliable multidimensional instruments to assess home health needs of older persons.
Systematic review.
Electronic databases, PubMed/Medline, Web of Science, Scopus, Cumulative Index to Nursing and Allied Health Literature, Scientific Electronic Library Online and the Latin American and Caribbean Health Sciences Information.
All English, Portuguese and Spanish literature which included studies of reliability and validity of instruments that assessed at least two dimensions: physical, psychological, social support and functional independence, self-rated health behaviors and contextual environment and if such instruments proposed interventions after evaluation and/or monitoring changes over a period of time.
Older persons aged 60 years or older.
Of the 2397 studies identified, 32 were considered eligible. Two-thirds of the instruments proposed the physical, psychological, social support and functional independence dimensions. Inter-observer and intra-observer reliability and internal consistency values were 0.7 or above. More than two-thirds of the studies included validity (n=26) and more than one validity was tested in 15% (n=4) of these. Only 7% (n=2) proposed interventions after evaluation and/or monitoring changes over a period of time.
Although the multidimensional assessment was performed, and the reliability values of the reviewed studies were satisfactory, different validity tests were not present in several studies. A gap at the instrument conception was observed related to interventions after evaluation and/or monitoring changes over a period of time. Further studies with this purpose are necessary for home health needs of the older persons.
对评估老年人家庭健康需求的多维有效且可靠工具的文献进行系统综述。
系统综述。
电子数据库、PubMed/Medline、Web of Science、Scopus、护理学及相关健康文献累积索引、科学电子图书馆在线和拉丁美洲及加勒比卫生科学信息。
所有评估至少两个维度（身体、心理、社会支持和功能独立性、自我评估的健康行为以及背景环境）的工具的可靠性和有效性的英文、葡萄牙文和西班牙文文献，且此类工具在评估和/或监测一段时间内的变化后提出干预措施。
年龄在 60 岁或以上的老年人。
在确定的 2397 项研究中，有 32 项被认为符合条件。三分之二的工具提出了身体、心理、社会支持和功能独立性维度。观察者间和观察者内可靠性和内部一致性值为 0.7 或更高。超过三分之二的研究包括有效性（n=26），其中 15%（n=4）的研究测试了超过一种有效性。只有 7%（n=2）在评估和/或监测一段时间内的变化后提出干预措施。
尽管进行了多维评估，且所审查研究的可靠性值令人满意，但并非所有研究都进行了不同的有效性测试。在评估和/或监测一段时间内的变化后，在仪器概念上观察到干预措施的差距。需要进一步开展有此目的的研究，以满足老年人的家庭健康需求。
