Karimi Akram, Keshvari Mahrokh, Moghimian Maryam
Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2022 Nov 18;27(6):547-553. doi: 10.4103/ijnmr.ijnmr_143_21. eCollection 2022 Nov-Dec.
In Iran, many efforts have been made to improve the Quality of Life (QOL) of the elderly; however, despite the efforts made, there is no practice guideline based on the consensus of experts that can be used to prevent the functional decline of hospitalized elderly. Accordingly, the present study was conducted with the aim of adaptation of a practice guideline to prevent the functional decline of hospitalized elderly.
This study is a developmental study based on the adaptation steps of the practice guideline. First, a search was conducted in 8 databases. The only practice guideline that met the inclusion criteria was then evaluated by the research team using the Appraisal of Guidelines for REsearch and Evaluation (AGREE II) tool. After content analysis of this guideline, the recommendations were categorized in the Canadian Senior Friendly Care (sfCare) Framework and according to the community conditions. Relevant evidence was used to supplement the content. The draft practice guideline was evaluated and modified in two expert panels through the RAND technique.
The categorized recommendations were developed in the eight chapters of introduction to the prevention of functional decline of the elderly, general practice guideline, organizational support, care processes, physical ecology, emotional and behavioral environment, ethics in care, and evaluation of function.
To prevent functional decline in hospitalized elderly individuals according to the adaptive practice guideline, the hospital and health team need to be aware of support, care processes, and effective function appraisal to be able to provide care with coherent and coordinated solutions.
在伊朗，为改善老年人的生活质量（QOL）已做出诸多努力；然而，尽管付出了这些努力，但尚无基于专家共识的实践指南可用于预防住院老年人的功能衰退。因此，本研究旨在改编一份预防住院老年人功能衰退的实践指南。
本研究是一项基于实践指南改编步骤的发展性研究。首先，在8个数据库中进行了检索。然后，研究团队使用《研究与评价指南评估》（AGREE II）工具对唯一符合纳入标准的实践指南进行了评估。在对该指南进行内容分析后，根据加拿大老年人友好护理（sfCare）框架并结合社区情况对建议进行了分类。利用相关证据对内容进行了补充。通过兰德技术在两个专家小组中对实践指南草案进行了评估和修改。
分类后的建议在预防老年人功能衰退的介绍、一般实践指南、组织支持、护理流程、物理环境、情感和行为环境、护理伦理以及功能评估这八章中得以制定。
为根据适应性实践指南预防住院老年人的功能衰退，医院和健康团队需要了解支持、护理流程以及有效的功能评估，以便能够提供连贯且协调的护理解决方案。
