Haines Krista, Lumpkin Stephanie T, Grisel Braylee, Kaur Kavneet, Cantrell Sarah, Freeman Jennifer, Tripoli Todd, Gallagher Scott, Agarwal Suresh, Cox Christopher E, Schmader Kenneth, Reeve Bryce B
Division of Trauma and Critical Care and Acute Care Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina.
Division of Trauma and Critical Care and Acute Care Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina.
J Surg Res. 2024 May;297:47-55. doi: 10.1016/j.jss.2024.01.011. Epub 2024 Mar 1.
As the older adult population increases, hospitals treat more older adults with injuries. After leaving, these patients suffer from decreased mobility and independence, relying on care from others. Family members often assume this responsibility, mostly informally and unpaid. Caregivers of other older adult populations have increased stress and decreased caregiver-related quality of life (CRQoL). Validated CRQoL measures are essential to capture their unique experiences. Our objective was to review existing CRQoL measures and their validity in caregivers of older adult trauma patients.
A professional librarian searched published literature from the inception of databases through August 12, 2022 in MEDLINE (via PubMed), Embase (via Elsevier), and CINAHL Complete (via EBSCO). We identified 1063 unique studies of CRQoL in caregivers for adults with injury and performed a systematic review following COnsensus-based Standards for the selection of health Measurement Instruments guidelines for CRQoL measures.
From the 66 studies included, we identified 54 health-related quality-of-life measures and 60 domains capturing caregiver-centered concerns. The majority (83%) of measures included six or fewer CRQoL content domains. Six measures were used in caregivers of older adults with single-system injuries. There were no validated CRQoL measures among caregivers of older adult trauma patients with multisystem injuries.
While many measures exist to assess healthcare-related quality of life, few, if any, adequately assess concerns among caregivers of older adult trauma patients. We found that CRQoL domains, including mental health, emotional health, social functioning, and relationships, are most commonly assessed among caregivers. Future measures should focus on reliability and validity in this specific population to guide interventions.
随着老年人口的增加，医院收治的受伤老年人增多。出院后，这些患者的活动能力和独立性下降，需要依靠他人照顾。家庭成员通常承担起这项责任，大多是非正式且无偿的。其他老年人群体的照顾者压力增加，与照顾者相关的生活质量（CRQoL）下降。经过验证的CRQoL测量方法对于了解他们的独特经历至关重要。我们的目的是回顾现有的CRQoL测量方法及其在老年创伤患者照顾者中的有效性。
一名专业图书馆员检索了从数据库建立到2022年8月12日发表在MEDLINE（通过PubMed）、Embase（通过Elsevier）和CINAHL Complete（通过EBSCO）上的文献。我们确定了1063项关于受伤成年人照顾者CRQoL的独特研究，并按照基于共识的健康测量工具选择标准指南对CRQoL测量方法进行了系统评价。
在纳入的66项研究中，我们确定了54项与健康相关的生活质量测量方法和60个涵盖以照顾者为中心问题的领域。大多数（83%）测量方法包含六个或更少的CRQoL内容领域。六项测量方法用于单系统损伤的老年成年人照顾者。在多系统损伤的老年创伤患者照顾者中，没有经过验证的CRQoL测量方法。
虽然有许多测量方法可用于评估与医疗保健相关的生活质量，但很少有方法能充分评估老年创伤患者照顾者的问题。我们发现，CRQoL领域，包括心理健康、情绪健康、社会功能和人际关系，在照顾者中最常被评估。未来的测量方法应注重在这一特定人群中的可靠性和有效性，以指导干预措施。
