PDF(Pubmed)
Abstract：
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.
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.
摘要：
背景：关于老年人需求的证据有限，包括那些生活脆弱的人，为研究优先级设置提供信息。
目的：本系统综述旨在确定居住在自己家中的社区老年人的研究重点范围，包括那些脆弱的人。
方法：纳入的研究来自经济发达国家，旨在确定社区居住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优先事项，则将其排除在外。Medline,Embase,搜索了PsycInfo和CINAHL(2010年1月-2022年6月)，灰色文学。评估研究质量，但并不排除基于质量的研究.使用了定制的数据提取表格，并进行了内容分析以综合发现。
结果：纳入75份报告。七个明确旨在确定虚弱的老年人的优先事项或未满足的需求；68没有指定虚弱为特征。研究设计多种多样，包括优先级设置练习，调查,采访,焦点小组和文献综述。确定的优先事项和未满足的需求被组织成主题:预防和管理，改善医疗保健服务的提供，改善日常生活，满足照顾者的需求和提前规划。
结论：许多优先领域是由老年人提出的，护理人员和健康/护理专业人员，但是很少有人明确地由虚弱的老年人确定。确定了定制的总体需求，协作提供护理和支持。
结论：审查结果为希望将研究或服务提供重点放在对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。
目的：本系统综述旨在确定居住在自己家中的社区老年人的研究重点范围，包括那些脆弱的人。
方法：纳入的研究来自经济发达国家，旨在确定社区居住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优先事项，则将其排除在外。Medline,Embase,搜索了PsycInfo和CINAHL(2010年1月-2022年6月)，灰色文学。评估研究质量，但并不排除基于质量的研究.使用了定制的数据提取表格，并进行了内容分析以综合发现。
结果：纳入75份报告。七个明确旨在确定虚弱的老年人的优先事项或未满足的需求；68没有指定虚弱为特征。研究设计多种多样，包括优先级设置练习，调查,采访,焦点小组和文献综述。确定的优先事项和未满足的需求被组织成主题:预防和管理，改善医疗保健服务的提供，改善日常生活，满足照顾者的需求和提前规划。
结论：许多优先领域是由老年人提出的，护理人员和健康/护理专业人员，但是很少有人明确地由虚弱的老年人确定。确定了定制的总体需求，协作提供护理和支持。
结论：审查结果为希望将研究或服务提供重点放在对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。
