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一项探索居住在养老院中的残疾年轻人的经历和结果的范围综述。

A scoping review to explore the experiences and outcomes of younger people with disabilities in residential aged care facilities.

机构信息

Summer Foundation Ltd ., Melbourne, Victoria, Australia.

Living with Disability Research Centre, La Trobe University , Melbourne, Victoria, Australia.

出版信息

Brain Inj. 2020 Sep 18;34(11):1446-1460. doi: 10.1080/02699052.2020.1805124. Epub 2020 Sep 8.

DOI:10.1080/02699052.2020.1805124
PMID:32897740
Abstract

OBJECTIVE

In Australia, over 6,000 adults younger than 65 have been inappropriately placed in nursing homes designed to accommodate older adults. The primary aim of this review was to map the literature on the experiences and outcomes of young people with disability who are placed in aged care.

METHODS

A scoping review of the published literature from 2009-2018 was conducted using Embase, Medline, PsycINFO and Scopus.

RESULTS

Eleven articles were identified (7 qualitative, 3 mixed methods, 1 quantitative). Results demonstrated the inability of aged care facilities to meet the basic human needs of young people (e.g., privacy, physical, sexual, social, nutritional, emotional need) and highlighted the lack of choice young people with disability have in regards to rehabilitation and housing. There was limited data relating to the trajectory and support needs of young people placed in aged care facilities.

CONCLUSIONS

This review highlights the negative outcomes young people experience while living in aged care. Future research should investigate the trajectory and support needs of young people in aged care facilities. Systemic changes are required to meet the needs of young people with complex needs at risk of admission to aged care including timely rehabilitation and housing and support options.

摘要

目的

在澳大利亚,有超过 6000 名年龄在 65 岁以下的成年人被不恰当地安置在专为老年人设计的养老院中。本研究的主要目的是绘制关于残疾年轻人在老年护理中经历和结果的文献图谱。

方法

使用 Embase、Medline、PsycINFO 和 Scopus 对 2009 年至 2018 年发表的文献进行了范围综述。

结果

确定了 11 篇文章(7 篇定性、3 篇混合方法、1 篇定量)。结果表明,老年护理机构无法满足年轻人的基本人类需求(如隐私、身体、性、社会、营养、情感需求),并强调残疾年轻人在康复和住房方面缺乏选择。关于安置在老年护理机构的年轻人的轨迹和支持需求的数据有限。

结论

本综述强调了年轻人在老年护理中所经历的负面结果。未来的研究应调查在老年护理机构中年轻人的轨迹和支持需求。需要进行系统变革,以满足有复杂需求、有入院老年护理风险的年轻人的需求,包括及时的康复、住房和支持选择。

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