Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Geriatric Health, Faculty of Health Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
PLoS One. 2023 Aug 8;18(8):e0284462. doi: 10.1371/journal.pone.0284462. eCollection 2023.
Due to the increasing Iran's aging population, designing a home care model is necessary. However, the data on designing the home care model for elderly adults among developing countries are limited. This study will be carried out to develop a formal home-based care model for elderly adults in Iran.
This multi-method study will include three phases: First, Mixed-methods sequential explanatory study including two steps: One, survey to determine the prevalence of dependence on formal and informal caregivers among people aged ≥ 60 years living in Tabriz metropolis; and two, content analysis approach includes face-to-face, semi-structured interviews with the older adults receiving formal care at home, their caregivers and relevant key informants on the characteristics of care and caregiver, challenges and expectations of standard care. In phase 2, a scoping review will be used to find out the components of home care in other countries, such as care provider organization, caregivers training, and financing. PubMed, Scopus, Web of Science, EMBASE, Google scholar databases and grey literature will be run to retrieve relevant evidence using proper MeSH terms. In phase3, the triangulation method (using the results of the previous phases, reviewing national upstream documents and the focus group discussion) will be done to reach consensus and design the initial model for the Iranian context. In the following, a Delphi study will be conducted on the validation and feasibility of the developed model.
The current health infrastructure in Iran is focused on caring for younger people, despite the near future population aging. Most studies have addressed the challenges of geriatric care, but no study has addressed the various dimensions of home care in Iran and how to provide this service to elderly adults. Providing a comprehensive model of home care for the elderly can improve the quality of life and satisfaction of the elderly and their caregivers.
由于伊朗人口老龄化的不断增加，设计家庭护理模式是必要的。然而，发展中国家有关老年人家庭护理模式设计的数据有限。本研究旨在为伊朗老年人制定正式的家庭护理模式。
本多方法研究将包括三个阶段：第一，混合方法顺序解释研究包括两个步骤：一，调查确定居住在大不里士都市的≥ 60 岁人群对正式和非正式照顾者的依赖程度；二，内容分析方法包括与在家接受正式护理的老年人、他们的照顾者以及相关关键信息提供者进行面对面、半结构化访谈，了解护理和照顾者的特征、标准护理的挑战和期望。在第二阶段，将进行范围综述，以查找其他国家的家庭护理组成部分，如护理提供者组织、照顾者培训和融资。将使用适当的 MeSH 术语在 PubMed、Scopus、Web of Science、EMBASE、Google Scholar 数据库和灰色文献中检索相关证据。在第三阶段，将使用三角测量法（使用前两个阶段的结果、审查国家上游文件和焦点小组讨论）达成共识，并为伊朗背景设计初始模型。随后，将对开发模型的验证和可行性进行 Delphi 研究。
伊朗目前的卫生基础设施侧重于照顾年轻人，尽管未来人口即将老龄化。大多数研究都解决了老年护理的挑战，但没有研究解决伊朗家庭护理的各个方面以及如何为老年人提供这项服务。为老年人提供全面的家庭护理模式可以提高老年人及其照顾者的生活质量和满意度。
