Farrer Olivia, Tieman Jennifer
End of Life Directions in Aged Care (ELDAC), Research Centre for Palliative Care, Death and Dying, College of Nursing and Health Sciences, Flinders University, Bedford Park, SA 5042, Australia.
Healthcare (Basel). 2024 Oct 3;12(19):1973. doi: 10.3390/healthcare12191973.
As our population ages, the demand for aged care services and palliative care is expected to increase. Allied health professionals have a diverse set of skills to offer in the management of older adults. This scoping review aimed to identify what evidence exists to support the best practice of allied health clinicians in palliative and aged care. Searches were conducted using broad keywords and MeSH headings with relevance to palliative, ageing and allied health care in the databases Ovid MEDLINE (R), CINAHL, EMCARE, INFORMIT, REHABDATA, PEDRO and SCOPUS, as well as the grey literature. Only 15 studies met the inclusion criteria. A prominent finding was that regular exercise interventions delivered improved mobility, balance, sleep and quality of life outcomes when measured ( = 5). Broader allied health input and outcomes, such as nutrition, were not well described, other than to suggest an interprofessional approach contributed to health benefits where these were observed. The lack of research creates uncertainty about what excellent care looks like and how it can be measured, making it harder for allied health professionals to advocate for funded time in providing care at the end of life and leading to poorer outcomes for older adults.
随着我国人口老龄化，对老年护理服务和姑息治疗的需求预计将会增加。专职医疗专业人员在老年人护理管理方面具备一系列多样的技能。本范围综述旨在确定有哪些证据支持专职医疗临床医生在姑息治疗和老年护理方面的最佳实践。我们使用与姑息治疗、老龄化和专职医疗保健相关的宽泛关键词和医学主题词，在Ovid MEDLINE（R）、CINAHL、EMCARE、INFORMIT、REHABDATA、PEDRO和SCOPUS等数据库以及灰色文献中进行检索。只有15项研究符合纳入标准。一个突出的发现是，定期进行运动干预在测量时（ = 5）可改善活动能力、平衡能力、睡眠和生活质量结果。除了表明跨专业方法在观察到的情况下有助于健康益处外，营养等更广泛的专职医疗投入和结果并未得到充分描述。研究的缺乏使得人们对优质护理的样子以及如何衡量它存在不确定性，这使得专职医疗专业人员更难争取到为临终护理提供资金支持的时间，从而导致老年人的护理结果更差。
