Ballarat Health Services, Ballarat, Victoria, Australia; Health Law and Ageing Research Unit, Department of Forensic Medicine, Monash University School of Public Health and Preventive Medicine, Southbank, Victoria, Australia.
Ballarat Health Services, Ballarat, Victoria, Australia; Federation University School of Health, Ballarat, Victoria, Australia.
J Am Med Dir Assoc. 2021 Aug;22(8):1678-1691.e6. doi: 10.1016/j.jamda.2021.02.009. Epub 2021 Mar 13.
Resident-to-resident elder mistreatment (R-REM) between residents living in residential aged care (RAC) services is a challenging issue in relation to the care of older people. Evidence suggests that R-REM, such as verbal, physical, and sexual conflict between residents, is a common and pervasive issue. This review examines the frequency with which R-REM occurs in RAC services; identifies the types of R-REM that occur; and provides an overview of the reported characteristics of both the victim and perpetrator involved in the R-REM event.
A systematic review was conducted. We searched MEDLINE, EMBASE, CINAHL, PsycINFO, Ageline, and Cochrane Library to identify qualitative and quantitative studies published in the English language.
Residents living in RAC services.
Data on frequency and characteristics were collated, and aggregate proportions were calculated where possible.
Twenty-six studies were identified; most (n = 20) were published in the United States. The overall proportion of residents engaged in R-REM was provided by 7 quantitative studies with the estimated frequency reported to be 12% to 23%. For qualitative studies, the number of care staff reporting to have observed R-REM ranged from 18.7% to 98.0%. Physical and verbal abuse were the most commonly reported types of mistreatment. Characteristics of the perpetrator of R-REM were reported in 12 (46.2%) studies. Overall, the mean age of perpetrators was 80.93 years, most were men (83.2%), and 64.4% had dementia and/or Alzheimer diagnosis. Characteristics of the victim and the history of R-REM were largely omitted from the published studies.
The findings from the review broaden understanding on the extent of R-REM; the individual and event characteristics and ultimately support care planning, policy, and direction for future research. To improve understanding, quality of care, and RAC residents' well-being, further studies are recommended to address the identified gaps in knowledge.
居民间虐待老年人（R-REM）是居住在养老院（RAC）服务中的老年人护理方面的一个挑战问题。有证据表明，居民间的言语、身体和性冲突等 R-REM 是一个常见且普遍的问题。本综述检查了 RAC 服务中 R-REM 发生的频率；确定了发生的 R-REM 类型；并概述了 R-REM 事件中涉及的受害者和肇事者的特征。
系统综述。我们在 MEDLINE、EMBASE、CINAHL、PsycINFO、Ageline 和 Cochrane Library 中搜索了以英文发表的定性和定量研究。
居住在 RAC 服务中的居民。
收集有关频率和特征的数据，并尽可能计算综合比例。
确定了 26 项研究；其中大多数（n=20）发表在美国。7 项定量研究提供了居民参与 R-REM 的总体比例，报告的估计频率为 12%至 23%。对于定性研究，报告观察到 R-REM 的护理人员人数从 18.7%到 98.0%不等。身体和言语虐待是最常见的虐待类型。12 项（46.2%）研究报告了 R-REM 肇事者的特征。总体而言，肇事者的平均年龄为 80.93 岁，大多数是男性（83.2%），64.4%患有痴呆症和/或阿尔茨海默病诊断。发表的研究大多忽略了受害者和 R-REM 历史的特征。
本综述的结果拓宽了对 R-REM 程度的理解；个人和事件特征，最终为未来的研究提供了护理计划、政策和方向的支持。为了提高认识、改善护理质量和 RAC 居民的福祉，建议开展进一步的研究，以解决知识空白。
