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养老院中的老年人如何有尊严地生活?一项定性研究元分析的方案。

How do the older adults in nursing homes live with dignity? A protocol for a meta-synthesis of qualitative research.

机构信息

Nursing Department, People's Hospital of Deyang City, Deyang, Sichuan, People's Republic of China.

Traditional Chinese Medicine Department, People's Hospital of Deyang City, Deyang, Sichuan, People's Republic of China.

出版信息

BMJ Open. 2023 Apr 25;13(4):e067223. doi: 10.1136/bmjopen-2022-067223.

Abstract

INTRODUCTION

As the population continuous to age and family sizes decrease, residing in nursing homes has emerged as a crucial option for older adults' care. Ensuring a dignified life for older adults in nursing homes is critical for enhancing their overall quality of life. The primary objective of this study is to synthesise the evidence of qualitative research on the feelings and experiences of dignity among older adults living in nursing homes. This will enable a better understanding of the factors influencing the perception of dignity and its preservation, ultimately assisting older adults in achieving a more comfortable and fulfilling experience in nursing homes.

METHODS AND ANALYSIS

The Preferred Reporting Items for Systematic Reviews and Meta-Analyses will guide this meta-synthesis. We conducted an initial search on 1 June 2022, for studies published between the inception of each database and 2022, using the population exposure-outcome nomenclature. We searched the Embase, Web of Science, CINAHL, Cochrane Library and PubMed databases for relevant studies. For data synthesis, we will employ the Ritchie and Spencer framework, and the Supporting the Use of Research Evidence Framework will be used for data analysis. To minimise the risk of bias, we will critically appraise the selected studies using the Qualitative Assessment and Review Instrument.

ETHICS AND DISSEMINATION

This review does not involve human participants and, therefore, does not necessitate ethical approval. We plan to disseminate the protocol and findings through relevant channels, including publication in pertinent journals, presentations at conferences and symposia, and engagement with local and international health stakeholders.

PROSPERO REGISTRATION NUMBER

CRD42022343983.

CONCLUSION

This study aims to offer comprehensive evidence to guide nursing staff in providing dignity-focused interventions for older adult residents in nursing homes.

摘要

简介

随着人口老龄化和家庭规模的缩小,养老院已经成为老年人护理的重要选择。确保养老院中老年人的尊严生活对于提高他们的整体生活质量至关重要。本研究的主要目的是综合定性研究关于养老院中老年人尊严的感受和体验的证据。这将有助于更好地理解影响尊严感知和保护的因素,最终帮助老年人在养老院中获得更舒适和充实的体验。

方法和分析

本元分析将遵循系统评价和荟萃分析的首选报告项目。我们于 2022 年 6 月 1 日进行了初步搜索,检索了每个数据库创建以来到 2022 年期间发表的研究,使用了人群暴露-结局命名法。我们在 Embase、Web of Science、CINAHL、Cochrane 图书馆和 PubMed 数据库中搜索了相关研究。为了进行数据综合,我们将采用 Ritchie 和 Spencer 框架,并使用支持研究证据框架进行数据分析。为了最大程度地降低偏倚风险,我们将使用定性评估和审查工具对选定的研究进行批判性评估。

伦理和传播

本综述不涉及人类参与者,因此不需要伦理批准。我们计划通过相关渠道传播方案和研究结果,包括在相关期刊上发表、在会议和研讨会上展示以及与当地和国际卫生利益相关者进行合作。

PROSPERO 注册号:CRD42022343983。

结论

本研究旨在为护理人员提供全面的证据,以指导他们为养老院中的老年居民提供以尊严为重点的干预措施。

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