Cambridge Public Health, University of Cambridge, East Forvie Site, Robinson Way, Cambridge CB2 0SR, UK.
THIS Institute, University of Cambridge, Clifford Allbutt Building, Cambridge Biomedical Campus, Cambridge CB2 0AH, UK.
Age Ageing. 2023 May 1;52(5). doi: 10.1093/ageing/afad069.
Care homes are increasingly important settings for intervention research to enhance evidence-informed care. For such research to demonstrate effectiveness, it is essential that measures are appropriate for the population, setting and practice contexts.
To identify care home intervention studies and describe the resident outcome measures used.
Scoping review.
We reviewed international care home research published from 2015 to August 2022. We searched MEDLINE, EMBASE, CINAHL and ASSIA. We included any intervention study conducted in a care home, reporting resident outcomes. We extracted resident outcome measures, organised these using the domains of an adapted framework and described their use.
From 7,330 records screened, we included 396 datasets reported in 436 publications. These included 12,167 care homes and 836,842 residents, with an average of 80 residents per study. The studies evaluated 859 unique resident outcomes 2,030 times using 732 outcome measures. Outcomes were evaluated between 1 and 112 times, with 75.1% of outcomes evaluated only once. Outcome measures were used 1-120 times, with 68.4% of measures used only once. Only 14 measures were used ≥20 times. Functional status, mood & behaviour and medications were the commonest outcome domains assessed. More than half of outcomes were assessed using scales, with a fifth using existing records or administrative data.
There is significant heterogeneity in the choice and assessment of outcomes for intervention research in care homes. There is an urgent need to develop a consensus on useful and sensitive tools for care homes, working with residents, families and friends and staff.
养老院在增强循证护理方面的干预研究中越来越重要。为了使此类研究具有有效性，必须使措施适合人群、环境和实践背景。
确定养老院干预研究，并描述所使用的居民结果测量指标。
范围综述。
我们回顾了 2015 年至 2022 年 8 月期间发表的国际养老院研究。我们检索了 MEDLINE、EMBASE、CINAHL 和 ASSIA。我们纳入了在养老院进行的任何干预研究，报告了居民的结果。我们提取了居民结果测量指标，使用经过调整的框架的领域对其进行组织，并描述了它们的使用情况。
从 7330 条筛选记录中，我们纳入了 436 篇出版物中报告的 396 个数据集。这些研究包括 12167 家养老院和 836842 名居民，平均每个研究有 80 名居民。这些研究评估了 859 个独特的居民结果 2030 次，使用了 732 个结果测量指标。结果评估次数为 1 至 112 次，其中 75.1%的结果仅评估了一次。结果测量指标使用次数为 1 至 120 次，其中 68.4%的指标仅使用了一次。只有 14 个指标使用了≥20 次。功能状态、情绪和行为以及药物是评估最常见的结果领域。超过一半的结果使用量表进行评估，五分之一的结果使用现有记录或行政数据。
养老院干预研究中，结果的选择和评估存在显著的异质性。迫切需要与居民、家属和朋友以及工作人员一起，就养老院有用且敏感的工具达成共识。
Zotero 插件
