Academic Unit for Ageing and Stroke Research, Bradford Teaching Hospitals NHS Foundation Trust/University of Leeds, Bradford, UK.
Academic Unit for Ageing and Stroke Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Age Ageing. 2024 Jan 2;53(1). doi: 10.1093/ageing/afad232.
There is limited evidence regarding the needs of older people, including those living with frailty, to inform research priority setting.
This systematic review aimed to identify the range of research priorities of community-dwelling older people living in their own home, including those living with frailty.
Included studies were from economically developed countries and designed to identify the priorities for research or unmet needs of community-dwelling older people. Studies were excluded if they described priorities relating to specific health conditions. Medline, Embase, PsycInfo and CINAHL were searched (January 2010-June 2022), alongside grey literature. Study quality was assessed, but studies were not excluded on the basis of quality. A bespoke data extraction form was used and content analysis undertaken to synthesise findings.
Seventy-five reports were included. Seven explicitly aimed to identify the priorities or unmet needs of frail older people; 68 did not specify frailty as a characteristic. Study designs varied, including priority setting exercises, surveys, interviews, focus groups and literature reviews. Identified priorities and unmet needs were organised into themes: prevention and management, improving health and care service provision, improving daily life, meeting carers' needs and planning ahead.
Many priority areas were raised by older people, carers and health/care professionals, but few were identified explicitly by/for frail older people. An overarching need was identified for tailored, collaborative provision of care and support.
Review findings provide a valuable resource for researchers and health/care staff wishing to focus their research or service provision on areas of importance for older people.
关于老年人的需求，包括那些患有虚弱症的老年人，以告知研究重点设置，相关证据有限。
本系统评价旨在确定居住在自己家中的社区老年人（包括患有虚弱症的老年人）的研究重点范围。
纳入的研究来自经济发达国家，旨在确定社区居住的老年人的研究重点或未满足的需求。如果研究描述了与特定健康状况有关的重点，则将其排除在外。检索了 Medline、Embase、PsycInfo 和 CINAHL（2010 年 1 月至 2022 年 6 月），以及灰色文献。评估了研究质量，但并未根据质量排除研究。使用了定制的数据提取表，并进行了内容分析以综合研究结果。
纳入了 75 份报告。其中 7 份明确旨在确定虚弱老年人的重点或未满足的需求；68 份未将虚弱作为特征进行具体说明。研究设计各不相同，包括重点设置练习、调查、访谈、焦点小组和文献综述。确定的重点和未满足的需求被组织成以下主题：预防和管理、改善健康和护理服务提供、改善日常生活、满足照顾者的需求和提前规划。
老年人、照顾者和卫生/保健专业人员提出了许多重点领域，但很少有专门为虚弱老年人确定的重点领域。人们明确提出需要量身定制、协作提供护理和支持。
审查结果为希望将研究或服务重点放在老年人重要领域的研究人员和卫生/保健人员提供了宝贵的资源。
