Stevens Bruce A, Shaw Rhonda, Bewert Peter, Salt Mavis, Alexander Rebecca, Loo Gee Brendan
Charles Sturt University, Canberra, Australian Capital Territory, Australia.
Charles Sturt University, Port Macquarie, New South Wales, Australia.
Australas J Ageing. 2018 Mar;37(1):34-42. doi: 10.1111/ajag.12484. Epub 2017 Dec 6.
The care of older prisoners is a growing problem. This review examined aged care interventions in prisons.
A systematic review was conducted following preferred reporting items for systematic reviews and meta-analyses guidelines. A total of 1186 abstracts were screened for inclusion. Quantitative and qualitative studies were included.
Two quantitative studies and five qualitative studies examined aged care interventions (n = 7). An intervention involving physical health activities was not effective in reducing distress compared to a control, and an intervention of psychosocial, physical and spiritual health activities for veterans was not effective when compared to a comparison group. Qualitative analysis generated themes that apply to best practices: addressing older prisoners' needs, identifying barriers for older prisoners and staff, considering the prison culture, program delivery and cultivating older prisoners and staff attitudes.
This review found no significant interventions in prisons. However, the qualitative findings showed evidence of best practice.
老年囚犯的照料是一个日益严重的问题。本综述研究了监狱中的老年护理干预措施。
按照系统评价和Meta分析的首选报告项目指南进行系统评价。共筛选了1186篇摘要以纳入研究。纳入了定量研究和定性研究。
两项定量研究和五项定性研究考察了老年护理干预措施(n = 7)。与对照组相比,一项涉及身体健康活动的干预措施在减轻痛苦方面无效,与比较组相比,一项针对退伍军人的心理社会、身体和精神健康活动干预措施也无效。定性分析得出了适用于最佳实践的主题:满足老年囚犯的需求、识别老年囚犯和工作人员面临的障碍、考虑监狱文化、项目实施以及培养老年囚犯和工作人员的态度。
本综述发现监狱中没有显著有效的干预措施。然而,定性研究结果显示了最佳实践的证据。