Rohatinsky Noelle, Russell Brooke, Read Kevin B
Noelle Rohatinsky, PhD, RN, CMSN(c), is Associate Professor, College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Brooke Russell, BSN, RN, is Research Assistant, College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Gastroenterol Nurs. 2023;46(4):296-308. doi: 10.1097/SGA.0000000000000737. Epub 2023 May 9.
The prevalence of inflammatory bowel disease is rising in persons older than 65 years. Although there is extensive literature on inflammatory bowel disease in older adults from a disease-related outcome, epidemiological, and treatment perspective, the older adult perspective on inflammatory bowel disease-related care needs and experiences is not well represented. This scoping review examines the existing literature regarding the care experiences of older adults living with inflammatory bowel disease. A systematic search was conducted using 3 concepts: older adults, inflammatory bowel disease, and patient experience. Seven publications met the inclusion criteria. Reported data include study design and methods, sample characteristics, and findings relevant to the research question. Two themes were identified: preferences for interactions with healthcare personnel and peer support networks, and barriers to accessing care for inflammatory bowel disease needs. An overarching concept across all studies was the need and request for individualized, patient-centered care where patient preferences are considered. This review highlights the need for more research on the older adult age group to guide evidence-informed practice that meets their individual inflammatory bowel disease care needs.
65岁以上人群中炎症性肠病的患病率正在上升。尽管从疾病相关结局、流行病学和治疗角度来看，关于老年成人炎症性肠病已有大量文献，但老年成人对炎症性肠病相关护理需求和经历的观点并未得到充分体现。本范围综述考察了关于老年炎症性肠病患者护理经历的现有文献。使用“老年成人”“炎症性肠病”和“患者体验”这三个概念进行了系统检索。七篇出版物符合纳入标准。报告的数据包括研究设计和方法、样本特征以及与研究问题相关的研究结果。确定了两个主题：与医护人员和同伴支持网络互动的偏好，以及满足炎症性肠病护理需求时获取护理的障碍。所有研究的一个总体概念是需要并要求提供考虑患者偏好的个性化、以患者为中心的护理。本综述强调需要对老年年龄组进行更多研究，以指导基于证据的实践，满足他们个体的炎症性肠病护理需求。
