Lunt Catherine, Dowrick Christopher, Lloyd-Williams Mari
Academic Palliative and Supportive Care Studies Group (APSCSG), Institute of Psychology Health and Society, University of Liverpool, Liverpool, UK.
Academic Palliative and Supportive Care Studies Group (APSCSG), Institute of Psychology Health and Society Block B Waterhouse Building, University of Liverpool, Liverpool, UK.
Health Soc Care Community. 2021 Sep;29(5):1201-1221. doi: 10.1111/hsc.13245. Epub 2020 Dec 17.
There is a lack of robust evidence regarding outcomes for day care use among older people living with long-term conditions (LTCs). Day care is provided by independent, private and voluntary and charitable sectors. This systematic review aims to establish current evidence of outcomes for older people with LTCs attending day care services and outcomes on carers, across all service models. Narrative synthesis of quantitative and qualitative data was undertaken. The review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A systematic literature search was carried out across eight electronic databases and reference lists of key journals between 2004 and October 2020 were searched. Searches returned 1,202 unique titles. Forty-five articles from 16 countries met the criteria on review of title, abstract and full article. There is limited evidence suggesting improved levels of perceived psychological health, quality of life, perceived general health, physical health and functioning for older people attending day care who have LTCs. The respite function of day care resulted in positive outcomes for carers. Studies evaluating outcomes for participants or carers were limited in quantity and quality. There is limited information regarding outcomes for day care attendance for older people with multiple LTCs from existing literature. Further research focusing on LTCs and day care attendance would benefit this field.
关于患有长期病症（LTCs）的老年人接受日托服务的结果，缺乏有力的证据。日托服务由独立、私营、志愿和慈善部门提供。本系统评价旨在确定患有LTCs的老年人参加日托服务的当前结果证据以及对照顾者的影响，涵盖所有服务模式。对定量和定性数据进行了叙述性综合分析。该评价遵循系统评价和Meta分析的首选报告项目（PRISMA）指南。在八个电子数据库中进行了系统的文献检索，并检索了2004年至2020年10月期间关键期刊的参考文献列表。检索返回1202个独特标题。来自16个国家的45篇文章符合标题、摘要和全文审查标准。仅有有限的证据表明，患有LTCs且参加日托服务的老年人在感知心理健康、生活质量、感知总体健康、身体健康和功能方面有所改善。日托服务的喘息功能对照顾者产生了积极影响。评估参与者或照顾者结果的研究在数量和质量上都很有限。现有文献中关于患有多种LTCs的老年人参加日托服务的结果信息有限。进一步针对LTCs和日托服务参与情况的研究将使该领域受益。
