Abstract：
Many older adults are experiencing unmet needs for assistance with the activities of daily living (ADLs) and instrumental activities of daily living (IADLs). Such unmet needs might threaten their physical and psychosocial well-being. We conducted a systematic review to provide a comprehensive picture of the health consequences of unmet ADL/IADL needs among older adults. Twenty-eight published articles were included for qualitative synthesis. We found that unmet ADL/IADL needs were consistently associated with higher health care utilization (e.g., hospitalization, medical spending) and adverse psychosocial consequences (e.g., anxiety, depression), while the findings of falls and mortality remain inconsistent. More studies are needed to draw firm conclusions and to allow for quantitative synthesis. This review advocates for more coordinated and comprehensive long-term care services for older adults. Future studies should explore how the adverse health outcomes identified in this review can be prevented or improved by adequately meeting older adults\' needs for assistance.
摘要：
许多老年人在日常生活活动（ADL）和日常生活工具活动（IADL）方面遇到了未满足的援助需求。这些未满足的需求可能会威胁到他们的身心健康。我们进行了系统评价，以全面了解老年人未满足的ADL/IADL需求对健康的影响。包括28篇已发表的文章进行定性综合。我们发现，未满足的ADL/IADL需求始终与更高的医疗保健利用率相关(例如，住院治疗,医疗支出)和不利的社会心理后果(例如，焦虑,抑郁症)，而跌倒和死亡率的结果仍然不一致。需要更多的研究来得出确切的结论，并允许定量综合。这项审查主张为老年人提供更协调和全面的长期护理服务。未来的研究应探讨如何通过充分满足老年人的援助需求来预防或改善本综述中确定的不良健康结果。
