Departement of Medicine for Older People, Amsterdam UMC, Vrije Universiteit Amsterdam, de Boelelaan 1117, Amsterdam, The Netherlands.
Amsterdam Public Health, Aging & Later Life, Amsterdam, The Netherlands.
Age Ageing. 2023 Mar 1;52(3). doi: 10.1093/ageing/afad032.
the efficacy and outcomes of geriatric rehabilitation (GR) have previously been investigated. However, a systematic synthesis of the aspects that are important to patients regarding the quality of GR does not exist.
the aim of this scoping review was to systematically synthesise the patients' perspective on the quality of GR.
we followed the Scoping Review framework and gathered literature including a qualitative study design from multiple databases. The inclusion criteria were: a qualitative study design; a geriatric population; that patients had participated in a geriatric rehabilitation programme and that geriatric rehabilitation was assessed by the patient. The results sections of the included studies were analysed using a thematic analysis approach.
twenty articles were included in this review. The main themes identified were: (i) the need for information about the rehabilitation process, (ii) the need for telling one's story, (iii) the need for support (physical, psychological, social and how to cope with limitations), (iv) the need for shared decision-making and autonomy, (v) the need for a stimulating rehabilitation environment and (vi) the need for rehabilitation at home.
in this study, we identified the aspects that determine the quality of rehabilitation from the patient's perspective, which may lead to a more holistic perspective on the quality of GR.
老年康复（GR）的疗效和结果此前已经过研究。然而，对于患者而言，关于 GR 质量的重要方面，并没有系统的综合研究。
本次范围综述的目的是系统地综合患者对 GR 质量的看法。
我们遵循范围综述框架，从多个数据库中收集包括定性研究设计的文献。纳入标准为：定性研究设计；老年人群；患者参与老年康复计划以及患者对老年康复进行评估。使用主题分析方法对纳入研究的结果部分进行分析。
本综述纳入了 20 篇文章。确定的主要主题包括：（i）对康复过程信息的需求，（ii）讲述自己故事的需求，（iii）支持的需求（身体、心理、社会和应对限制的方法），（iv）共同决策和自主权的需求，（v）需要刺激的康复环境，以及（vi）需要在家中进行康复。
在这项研究中，我们从患者的角度确定了决定康复质量的方面，这可能会导致对 GR 质量的更全面的看法。
