Bláhová Hana, Bártová Alžběta, Dostálová Vladimíra, Holmerová Iva
Department of Longevity Studies, Faculty of Humanities, Charles University, Prague, Czech Republic.
Aging Clin Exp Res. 2021 Aug;33(8):2113-2122. doi: 10.1007/s40520-020-01734-6. Epub 2020 Oct 20.
Research into care for older patients in the hospital environment has become an increasingly valuable source of information, as it gives feedback on the quality of hospital care provided. The aim of this study is to provide a comprehensive overview of the self-reported needs of older people in hospital care.
The scoping review was conducted by searching the following databases: Medline, Web of Science, ProQuest Central, Scopus, Cinahl, PsycINFO and Summon.
The search identified articles focusing on older people in hospital care. The majority of these articles address the system and quality of care for seniors at a somewhat general and theoretical level. Met and unmet needs were assessed by a variety of test methods focusing mainly on medical issues (e.g., Mini-Nutritional Assessment, ADLs-activities of daily living, Abbey Pain Scale) and mostly from the perspective of hospital staff, carers and relatives. Only 15 articles used assessments based on information and opinions obtained from the seniors themseAbstract_Paralves (self-reported needs). A thematic analysis revealed seven main themes: conduct and care in emergency departments, dignity, nutritional care, satisfaction of patients' needs, pain, caring with respect, decision-making and spiritual needs.
CONCLUSION/DISCUSSION: The results of this scoping review suggest that more attention should be focused on information acquired from the patients themselves, as it is only the patient, however, old or frail, who can offer an accurate perspective on met or unmet needs and the quality of care provided.
对医院环境中老年患者护理的研究已成为越来越有价值的信息来源，因为它能反馈所提供的医院护理质量。本研究的目的是全面概述老年患者在医院护理中的自我报告需求。
通过检索以下数据库进行范围综述：医学文献数据库（Medline）、科学引文索引（Web of Science）、ProQuest Central、Scopus、护理学与健康领域数据库（Cinahl）、心理学文摘数据库（PsycINFO）和Summon。
检索到了关注老年患者医院护理的文章。这些文章大多在一定程度上从一般和理论层面探讨了老年人护理的系统和质量。通过多种主要侧重于医疗问题的测试方法（如微型营养评定法、日常生活活动能力量表、阿比疼痛量表）评估了已满足和未满足的需求，且大多是从医院工作人员、护理人员和亲属的角度进行评估的。只有15篇文章使用了基于从老年人自身获取的信息和意见的评估（自我报告需求）。主题分析揭示了七个主要主题：急诊科的行为与护理、尊严、营养护理、患者需求满意度、疼痛、尊重关怀、决策和精神需求。
结论/讨论：本范围综述的结果表明，应更多地关注从患者自身获取的信息，因为只有患者，无论年龄多大或身体多虚弱，才能对已满足或未满足的需求以及所提供护理的质量提供准确的观点。
