Liebzeit Daniel, Jaboob Saida, Bjornson Samantha, Geiger Olivia, Buck Harleah, Arbaje Alicia I, Ashida Sato, Werner Nicole E
The University of Iowa College of Nursing, 50 Newton Rd, Iowa City, IA 52242, USA.
The University of Iowa College of Nursing, 50 Newton Rd, Iowa City, IA 52242, USA.
Geriatr Nurs. 2023 Sep-Oct;53:218-226. doi: 10.1016/j.gerinurse.2023.08.010. Epub 2023 Aug 18.
The objective of this scoping review is to examine current evidence regarding unpaid/family caregivers' experiences during older adults' hospital-to-home transitions to identify gaps and opportunities to involve caregivers in transitional care improvement efforts. Eligible articles focused on caregiver experience, outcomes, or interventions during older adults' hospital-to-home transitions. Our review identified several descriptive studies focused on exploring the caregiver experience of older adult hospital-to-home transitions and caregiver outcomes (such as preparedness, strain, burden, health, and well-being). Qualitative studies revealed challenges at multiple levels, including individual, interpersonal, and systemic. Few interventions have targeted or included caregivers to improve discharge education and address support needs during the transition. Future work should target underrepresented and marginalized groups of caregivers, and caregivers' collaboration with community-based services, social networks, or professional services. Work remains in developing and implementing interventions to support both older adult and caregiver needs.
本范围综述的目的是研究当前关于 unpaid/家庭照顾者在老年人从医院过渡到家庭期间的经历的证据，以确定在改善过渡性护理工作中让照顾者参与的差距和机会。符合条件的文章聚焦于老年人从医院过渡到家庭期间照顾者的经历、结果或干预措施。我们的综述确定了几项描述性研究，重点探讨了老年人从医院过渡到家庭期间照顾者的经历和照顾者的结果（如准备情况、压力、负担、健康和幸福感）。定性研究揭示了多个层面的挑战，包括个人、人际和系统层面。很少有干预措施针对照顾者或让照顾者参与以改善出院教育并解决过渡期间的支持需求。未来的工作应针对代表性不足和边缘化的照顾者群体，以及照顾者与社区服务、社会网络或专业服务的合作。在制定和实施支持老年人和照顾者需求的干预措施方面仍有工作要做。
