这篇综述确定了临床实践指南(CPG)和共识声明(CS),其中包括对社区居住的老年人的长期护理的建议。此外,它使用研究和评估指南评估(AGREEII)工具评估其质量,以确定高质量指南和高质量指南的综合建议,并使用AGREE-RecommendationExcellence(AGREE-REX)工具评估这些指南的质量。在MEDLINE进行了系统搜索(2023年11月),PubMed,准则国际网络(GIN),国家健康与护理卓越研究所(NICE),新西兰准则小组(NZGG),安大略省注册护士协会(RNAO),国家准则信息交换所(NGC),和苏格兰校际指南网络(SIGN)。两名审稿人使用AGREEII独立选择和评估文章。召开了一次会议,使用AGREE-REX评估指南的质量(AGREEII平均得分>70%)。分析包括14个CPG和2个CS。其中,7个CPGs达到>70%的标准,“范围和目的”域获得最高分,为85.43(±17.87),和“适用性”领域得分最低,为46.93(±26.74)。关于AGREE-REX的分数,这七个CPG被认为是“中等”,“临床适用性”领域的得分最高,为61.29%(±10.80),“值和首选项”领域的得分最低,为38.14%(±9.26)。从七个高质量的CPG中综合了四个主题:规划和提供以人为本的家庭护理,认知障碍,以及视力受损和跌倒的筛查。社区居住老年人长期护理的CPG和CSS的质量还有改进的空间,需要更高质量的指南来满足社区居住的老年人的长期护理需求。
This review identified clinical practice
guidelines (CPGs) and
consensus statements (CSs) that include recommendations on long-term care for community-dwelling older adults. Additionally, it assessed their quality using the Appraisal of
Guidelines for Research and Evaluation (AGREE II) tool to determine high-quality guidelines and synthesis recommendations from high-quality
guidelines and evaluate the quality of these
guidelines using the AGREE-Recommendation Excellence (AGREE-REX) tool. A systematic search was performed (November 2023) in MEDLINE, PubMed, Guidelines International Network (GIN), National Institute for Health and Care Excellence (NICE), New Zealand Guidelines Group (NZGG), Registered Nurses\' Association of Ontario (RNAO), National
Guideline Clearinghouse (NGC), and Scottish Intercollegiate
Guidelines Network (SIGN). Two reviewers independently selected and assessed the articles using AGREE II. A meeting was held to appraise the quality of the guidelines (AGREE II mean score >70 %) using AGREE-REX. The analysis included 14 CPGs and 2 CSs. Of these, 7 CPGs reached the standard of >70 %, the \'Scope and purpose\' domain obtained the highest score with 85.43 (± 17.87), and the \'Applicability\' domain scored lowest with 46.93 (± 26.74). Regarding the score of AGREE-REX, the seven CPGs were considered as \'moderate\', with the \'Clinical Applicability\' domain having the highest score of 61.29 % (±10.80) and the \'Values and Preferences\' domain having the lowest score of 38.14 % (±9.26). Four themes were synthesised from the seven high-quality CPGs: planning and delivering person-centred home care, cognitive impairment, and screening for impaired vision and falls. The quality of CPGs and CSs on long-term care for community-dwelling older adults has room for improvement, and higher-quality guidelines are required to meet the long-term care needs of community-dwelling older adults.