家庭访视护理对改善老年人死亡率、住院率、机构化、满意度和生活质量的有效性：伞式综述。
Effectiveness of home visit nursing on improving mortality, hospitalization, institutionalization, satisfaction, and quality of life among older people: Umbrella review.
机构信息
Department of Gerontological Homecare and Long-Term Care Nursing, Division of Health Science and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; Global Nursing Research center (GNRC), The University of Tokyo, Tokyo, Japan.
Department of Gerontological Homecare and Long-Term Care Nursing, Division of Health Science and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
出版信息
Geriatr Nurs. 2023 May-Jun;51:330-345. doi: 10.1016/j.gerinurse.2023.03.018. Epub 2023 Apr 14.
This umbrella review followed the JBI methodology and synthesized systematic reviews of the effectiveness of long-term home visit nursing for older people (≥ 60 years) on improving mortality, hospitalization, institutionalization, patient satisfaction, and quality of life. Eight bibliographic databases were searched, and 10 reviews with 22 distinct relevant trials (n = 10,765 participants) were included. Mortality was the most frequently examined outcome and satisfaction was the least examined (n = nine and one reviews, respectively). Home visit nursing had a favorable effect on reducing the number of admissions to hospital (n = 1,152 participants in two trials vs. 788 participants in three trials) and no effect on other outcomes. The evidence of the effectiveness of long-term home visit nursing for older people is minimal. Future research needs to be based on a theoretical foundation that explains how interventions are expected to work.
这篇伞式综述遵循 JBI 方法，综合了关于长期家庭访视护理对改善老年人（≥60 岁）死亡率、住院率、机构化、患者满意度和生活质量的有效性的系统评价。检索了 8 个文献数据库，纳入了 10 项综述和 22 项不同的相关试验（n=10765 名参与者）。死亡率是最常被检测的结果，而满意度是最少被检测的结果（分别有 9 项和 1 项综述）。家庭访视护理对减少住院人数有积极影响（两项试验中有 1152 名参与者，而三项试验中有 788 名参与者），但对其他结果没有影响。长期家庭访视护理对老年人有效性的证据很少。未来的研究需要基于一个能够解释干预措施预期如何发挥作用的理论基础。
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