College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.
Flinders Digital Health Research Centre, Flinders University, Adelaide, Australia.
Disabil Rehabil. 2022 Aug;44(17):4896-4908. doi: 10.1080/09638288.2021.1912197. Epub 2021 Apr 28.
Benefits of community participation and physical activity for the health and wellbeing of older adults are well documented. This review aims to answer the question; "How is community participation considered for older adults in the transition from hospital to home?"
This scoping review searched key databases using subject headings and keywords. Two independent reviewers selected studies based on a systematic procedure. Inclusion criteria were adults aged ≥60 years, transitioning from hospital to home, reporting on community participation, inclusive of leisure activities, social activities, and physical activity.
Of 2206 initial unique articles, 19 met inclusion criteria. Articles covered a range of diagnoses, most frequently stroke, hip replacement, or fracture. Numerous measures of community participation were reported, identifying "low" and "reduced" community participation in ten studies. Measures of physical activity, health-related quality of life, sleep quality, and loneliness were variable. Five studies reported interventions and four reported improved components of community participation. Numerous barriers to community participation were identified, with recommendations for future transition care services considered.
There are considerable barriers to promoting community participation in transition care services for older people. Older adults need information to prepare for returning home from hospital and to regain valued leisure and social activities for health-related quality of life.IMPLICATIONS FOR REHABILITATIONCommunity participation is an important component of healthy ageing which health professionals should consider beyond discharge.Levels of mobility and endurance should be considered in terms of facilitating community participation for older adults.Transition care services should provide adequate information to prepare individuals expectations of returning home following hospital stay, whilst attempting to maintain valued leisure and social activities.
社区参与和身体活动对老年人的健康和幸福的益处已得到充分证明。本综述旨在回答以下问题：“在从医院到家庭的过渡中，如何考虑老年人的社区参与？”
本范围综述使用主题词和关键词搜索了主要数据库。两名独立的审查员根据系统程序选择研究。纳入标准为年龄≥60 岁、从医院到家庭过渡、报告社区参与情况的成年人，包括休闲活动、社会活动和身体活动。
在 2206 篇初始独特文章中，有 19 篇符合纳入标准。文章涵盖了多种诊断，最常见的是中风、髋关节置换或骨折。有许多衡量社区参与的指标，其中有 10 项研究报告了“低”和“降低”的社区参与。身体活动、健康相关生活质量、睡眠质量和孤独感的衡量标准各不相同。五项研究报告了干预措施，四项研究报告了社区参与的改善部分。确定了许多社区参与的障碍，并对未来的过渡护理服务提出了建议。
在促进老年人过渡护理服务中的社区参与方面存在相当多的障碍。老年人需要信息来为从医院回家做准备，并恢复有价值的休闲和社会活动以提高健康相关的生活质量。
社区参与是健康老龄化的一个重要组成部分，健康专业人员应该在出院后考虑这一点。应该考虑老年人的移动性和耐力水平，以促进他们参与社区活动。过渡护理服务应提供足够的信息，让个人对住院后返回家中的期望做好准备，同时努力维持有价值的休闲和社会活动。
