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巴西老年人长期护理机构的研究映射:范围综述。

Mapping Research Conducted on Long-Term Care Facilities for Older People in Brazil: A Scoping Review.

机构信息

Botucatu Medical School, São Paulo State University, Botucatu SP-01049-010, Brazil.

Department of Psychiatry, Universidade Federal de São Paulo, São Paulo SP-04021-001, Brazil.

出版信息

Int J Environ Res Public Health. 2021 Feb 5;18(4):1522. doi: 10.3390/ijerph18041522.

Abstract

This scoping review aimed to explore the characteristics, strengths, and gaps in research conducted in Brazilian long-term care facilities (LTCFs) for older adults. Electronic searches investigating the residents (≥60 years old), their families, and the LTCF workforce in Brazil were conducted in Medline, EMBASE, LILACS, and Google Scholar, within the timescale of 1999 to 2018, limited to English, Portuguese, or Spanish. The reference lists were hand searched for additional papers. The Mixed Methods Appraisal Tool (MMAT) was used for critical appraisal of evidence. Data were reported descriptively considering the study design, using content analysis: 327 studies were included ( = 159 quantitative non-randomized, = 82 quantitative descriptive, = 67 qualitative, = 11 mixed methods, = 6 randomized controlled trials, and = 2 translation of assessment tools). Regardless of the study design, most were conducted in a single LTCF (45.8%), in urban locations (84.3%), and in non-profit settings (38.7%). The randomized trials and descriptive studies presented the lowest methodological quality based on the MMAT. This is the first review to provide an overview of research on LTCFs for older people in Brazil. It illustrates an excess of small-scale, predominantly qualitative papers, many of which are reported in ways that do not allow the quality of the work to be assured.

摘要

本范围综述旨在探讨巴西老年人长期护理机构(LTCF)中开展的研究的特点、优势和差距。我们在 1999 年至 2018 年期间,在 Medline、EMBASE、LILACS 和 Google Scholar 中,以英语、葡萄牙语或西班牙语进行了电子检索,调查了巴西的居民(≥60 岁)、他们的家属和 LTCF 工作人员。我们还手动搜索了参考文献列表以获取其他论文。我们使用混合方法评估工具(MMAT)对证据进行了批判性评估。我们根据研究设计,使用内容分析法对数据进行了描述性报告:共纳入 327 项研究( = 159 项非随机定量研究、 = 82 项定量描述性研究、 = 67 项定性研究、 = 11 项混合方法研究、 = 6 项随机对照试验和 = 2 项评估工具翻译)。无论研究设计如何,大多数研究都是在单个 LTCF 中进行的(45.8%)、在城市地区(84.3%)和非营利性环境中进行的(38.7%)。基于 MMAT,随机试验和描述性研究的方法学质量最低。这是第一份对巴西老年人长期护理机构研究的综述,它说明了大量小规模、以定性为主的论文,其中许多报告方式无法保证工作质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b809/7915754/34d715666d5f/ijerph-18-01522-g001.jpg

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