65岁及以上人群再次入院的经历是怎样的？文献综述。
What is the experience of being readmitted to hospital for people 65 years and over? A review of the literature.
作者信息
Blakey Emma Pascale, Jackson Debra, Walthall Helen, Aveyard Helen
机构信息
a The Oxford Institute of Nursing, Midwifery and Allied Health Research (OxINMAHR), Oxford Brookes University , The Colonnade, Headington Campus, Oxford OX3 0BP , UK.
b Department of Nursing, Faculty of Health and Life Sciences , Oxford Brookes University , Jack Straws Lane, Oxford OX3 0FL , UK.
出版信息
Contemp Nurse. 2017 Dec;53(6):698-712. doi: 10.1080/10376178.2018.1439395. Epub 2018 Feb 21.
AIM
To explore the experience of readmissions to hospital from the perspective of older adults.
METHODS
A systematic review with an interpretative approach was conducted. CINAHL, Embase, and Medline were consulted in October 2016.
RESULTS
Six studies with data collection between 2004 and 2013 fit the relevant criteria and included a total of 68 older adults. Two overarching themes were developed with relevant subthemes: Experience during initial hospital stay distinguished by exclusion (Feeling powerless; Feeling disregarded; Perception of readiness for discharge); Patients experience uncertainty following discharge (Perception that community-based services are not available or adequate; Perception that hospital is the only safe place; Difficulty in adapting to a "new normal").
CONCLUSIONS
A cycle of exclusion exists during the initial hospital stay and beyond. The experience of being readmitted to hospital is challenging, mostly perceived as negative, and, existential, emotional and psychological well-being is not satisfactorily addressed by healthcare professionals.
目的
从老年人的角度探讨再次入院的经历。
方法
采用解释性方法进行系统综述。2016年10月检索了CINAHL、Embase和Medline数据库。
结果
2004年至2013年间进行数据收集的6项研究符合相关标准，共纳入68名老年人。确定了两个总体主题及相关子主题：初次住院期间以被排斥为特征的经历（感到无力；感到被忽视；对出院准备情况的认知）；患者出院后经历不确定性（认为社区服务不可用或不足；认为医院是唯一安全的地方；难以适应“新常态”）。
结论
在初次住院期间及之后存在一种排斥循环。再次入院的经历具有挑战性，大多被视为负面经历，且医护人员未充分关注患者的生存、情感和心理健康。
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