Bareham Bethany Kate, Kaner Eileen, Spencer Liam, Hanratty Barbara
Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE4 5PL, UK.
Age Ageing. 2020 Feb 21;49(3):453-67. doi: 10.1093/ageing/afaa005.
alcohol may increase risks to late-life health, due to its impact on conditions or medication. Older adults must weigh up the potential risks of drinking against perceived benefits associated with positive roles of alcohol in their social lives. Health and social care workers are in a key position to support older people's decisions about their alcohol use.
to systematically review and synthesise qualitative studies exploring health and social care providers' views and experiences of older people's drinking and its management in care services.
a pre-specified search strategy was applied to five electronic databases from inception to June 2018. Grey literature, relevant journals, references and citations of included articles were searched. Two independent reviewers sifted and quality-appraised articles. Included study findings were analysed through thematic synthesis.
18 unique studies were included. Four themes explained findings: uncertainty about drinking as a legitimate concern in care provision for older people; the impact of preconceptions on work with older adults; sensitivity surrounding alcohol use in later life; and negotiating responsibility for older adults' alcohol use. Discipline- and country-specific patterns are highlighted.
reservations about addressing alcohol could mean that service providers do not intervene with older adults. Judgements of whether older care recipients' drinking warrants intervention are complex. Providers will need support and training to recognise and provide appropriate intervention for drinking amongst older care recipients.
酒精可能会增加晚年健康风险，因为它会对身体状况或药物治疗产生影响。老年人必须权衡饮酒的潜在风险与饮酒在社交生活中的积极作用所带来的预期益处。健康和社会护理工作者在支持老年人做出饮酒决策方面处于关键地位。
系统回顾和综合定性研究，探讨健康和社会护理提供者对老年人饮酒及其在护理服务中的管理的看法和经验。
从数据库建立至2018年6月，对五个电子数据库应用预先指定的检索策略。检索灰色文献、相关期刊、纳入文章的参考文献和引用文献。两名独立评审员筛选并对文章进行质量评估。通过主题综合分析纳入研究的结果。
纳入18项独特研究。四个主题解释了研究结果：饮酒是否为老年人护理中的合理关注点存在不确定性；先入之见对与老年人工作的影响；晚年饮酒的敏感性；以及协商老年人饮酒的责任。突出了特定学科和国家的模式。
对解决饮酒问题的保留态度可能意味着服务提供者不会对老年人进行干预。判断老年护理接受者的饮酒是否需要干预很复杂。提供者需要支持和培训，以识别并为老年护理接受者中的饮酒行为提供适当干预。
