Lee Ji Yeon, Yang Yong Sook, Cho Eunhee
Yonsei University College of Nursing, Seoul, 03722, South Korea.
Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul, 03722, South Korea.
Geriatr Nurs. 2022 Jan-Feb;43:64-76. doi: 10.1016/j.gerinurse.2021.11.003. Epub 2021 Nov 22.
Frail older adults are vulnerable to hospitalization and transitional care is needed to maintain care continuity; however, there exists no review regarding transitional care focusing on frailty. This study aimed to investigate transitional care for frail older adults and its effectiveness. Search terms were (P) frail older adults; (I) transitional care initiated before discharge; (C) usual care; (O) all health outcomes. Fourteen trials were identified. The most measured outcome was readmission (n = 13), followed by mortality (n = 9), function (n = 7), quality of life (n = 5), and self-rated health (n = 5). Statistical significance effects were reported in the followings: n = 6, readmission; n = 0, mortality; n = 3, function; n = 2, quality of life; and n = 4, self-rated health. The meta-analysis demonstrated that transitional care reduced readmission at six months but not other time points nor mortality or quality of life. The intervention effectiveness was inconclusive; therefore, an evidence-based yet novel approach is necessary to establish an adequate transitional care intervention for frail older adults.
体弱的老年人易受住院影响，需要过渡性护理以维持护理的连续性；然而，目前尚无针对体弱老年人的过渡性护理的综述。本研究旨在调查体弱老年人的过渡性护理及其效果。检索词为：（P）体弱老年人；（I）出院前开始的过渡性护理；（C）常规护理；（O）所有健康结局。共识别出14项试验。最常测量的结局是再入院（n = 13），其次是死亡率（n = 9）、功能（n = 7）、生活质量（n = 5）和自评健康（n = 5）。以下方面报告了统计学显著效应：n = 6，再入院；n = 0，死亡率；n = 3，功能；n = 2，生活质量；n = 4，自评健康。荟萃分析表明，过渡性护理可降低六个月时的再入院率，但对其他时间点、死亡率或生活质量无影响。干预效果尚无定论；因此，需要一种基于证据且新颖的方法来为体弱老年人建立适当的过渡性护理干预措施。
