McArthur Caitlin, Gibbs Jenna C, Patel Ruchit, Papaioannou Alexandra, Neves Paula, Killingbeck Jaimie, Hirdes John, Milligan James, Berg Katherine, Giangregorio Lora
Department of Kinesiology,University of Waterloo.
Department of Medicine,McMaster University.
Can J Aging. 2017 Dec;36(4):435-452. doi: 10.1017/S071498081700040X.
Residents in long-term care (LTC) often require physical rehabilitation (PR) to maintain/improve physical function. This scoping review described the breadth of literature regarding PR in LTC to date, synthesizing PR interventions that have been evaluated, outcomes used, and tools for determining service eligibility. A structured search, conducted in six licensed databases and grey literature, identified 381 articles for inclusion. Most interventions were delivered and evaluated at the resident level and typically were multicomponent exercise programs. Performance-based measures, activities of daily living, and mood were the most frequently reported outcomes. A key knowledge gap was PR in relation to goals, such as quality of life. Future studies should reflect medically complex residents who live in LTC, and length of residents' stay should be differentiated. Intervention studies should also explore realistic delivery methods; moreover, tool development for determining service eligibility is necessary to ensure equality in rehabilitative care across the LTC sector.
长期护理（LTC）机构中的居民通常需要身体康复（PR）来维持/改善身体功能。本综述描述了迄今为止关于长期护理中身体康复的文献广度，综合了已评估的身体康复干预措施、所使用的结果指标以及确定服务资格的工具。在六个许可数据库和灰色文献中进行的结构化搜索，确定了381篇纳入文章。大多数干预措施是在居民层面实施和评估的，通常是多组分运动项目。基于表现的测量、日常生活活动和情绪是最常报告的结果。一个关键的知识空白是与生活质量等目标相关的身体康复。未来的研究应反映居住在长期护理机构中的患有复杂疾病的居民，并区分居民的住院时间。干预研究还应探索切实可行的实施方法；此外，开发确定服务资格的工具对于确保长期护理部门康复护理的平等性是必要的。
