一项针对重症监护后老年患者健康相关生活质量、恢复和幸福感的范围综述。
A scoping review of older patients' health-related quality of life, recovery and well-being after intensive care.
机构信息
Faculty of Medicine, Department of Health Sciences, Lund University, Lund, Sweden.
Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.
出版信息
Nurs Open. 2023 Sep;10(9):5900-5919. doi: 10.1002/nop2.1873. Epub 2023 Jun 12.
AIMS
In the present study, we aimed to determine how Health-Related Quality of Life (HRQoL), recovery (function and capacity in daily life) and well-being are followed up and characterised in persons ≥65 years of age who were being cared for in an intensive care unit (ICU).
DESIGN
A scoping review.
METHODS
CINAHL, MEDLINE (Ovid) and PsycINFO databases were searched in October 2021. 20 studies met the inclusion criteria. The scoping review followed the principles outlined by Arksey and O'Malley, and the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) checklist and Joanna Briggs Institute (JBI) framework were used.
RESULTS
Results are presented under five subheadings: Study characteristics, Type of studies, Methods for follow-up, health-related quality of life, and Recovery. Time seems to be an important factor regarding HRQoL among older patients being cared for in an ICU, with most elderly survivors perceiving their HRQoL as acceptable after 1 year. Nevertheless, several studies showed patients' willingness to be readmitted to the ICU if necessary, indicating that life is worth fighting for.
PATIENT OR PUBLIC CONTRIBUTION
Due to the design of the study, this study involves no patient or public contribution.
目的
本研究旨在探讨在重症监护病房（ICU）接受治疗的≥65 岁人群中，健康相关生活质量（HRQoL）、恢复情况（日常生活中的功能和能力）和幸福感是如何得到随访和评估的。
设计
范围综述。
方法
2021 年 10 月，我们在 CINAHL、MEDLINE（Ovid）和 PsycINFO 数据库中进行了检索。20 项研究符合纳入标准。该范围综述遵循 Arksey 和 O'Malley 概述的原则，并使用了 Preferred Reporting Items for Systematic Review and Meta-analyses（PRISMA）清单和 Joanna Briggs Institute（JBI）框架。
结果
结果从以下五个副标题呈现：研究特征、研究类型、随访方法、健康相关生活质量和恢复情况。时间似乎是 ICU 中接受治疗的老年患者 HRQoL 的一个重要因素，大多数老年幸存者在 1 年后认为他们的 HRQoL 是可以接受的。然而，一些研究表明，如果需要，患者愿意再次入住 ICU，这表明生命是值得为之奋斗的。
患者或公众参与
由于研究设计的原因，本研究不涉及患者或公众的参与。
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