Multidimensional factors affecting homebound older adults: A systematic review.

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Tytuł:: Multidimensional factors affecting homebound older adults: A systematic review.
Autorzy:: Lee J; Mo-Im Kim Nursing Research Institute, Yonsei Evidence Based Nursing Centre of Korea: A JBI Affiliated Group, College of Nursing, Yonsei University, Seoul, Republic of Korea.
Suh Y; College of Nursing, Health Science & Human Ecology, Dong-Eui University, Busan, Republic of Korea.
Kim Y; Graduate School, College of Nursing, Yonsei University, Seoul, Republic of Korea.
Źródło:: Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing [J Nurs Scholarsh] 2022 Mar; Vol. 54 (2), pp. 169-175. Date of Electronic Publication: 2021 Nov 14.
Typ publikacji:: Journal Article; Systematic Review; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Publication: Hoboken, NJ : Wiley
Original Publication: Indianapolis, IN : Sigma Theta Tau International, 2000-
MeSH Terms:: Cross-Sectional Studies*
Aged ; Humans ; Risk Factors
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Contributed Indexing:: Keywords: factor; homebound; older adults; systematic review
Entry Date(s):: Date Created: 20211115 Date Completed: 20220401 Latest Revision: 20220731
Update Code:: 20240104
PubMed Central ID:: PMC9299136
DOI:: 10.1111/jnu.12724
PMID:: 34779108
: Czasopismo naukowe

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Purpose: To systematically identify the multidimensional factors affecting homebound older adults.
Design: Systematic review.
Methods: We searched PubMed, MEDLINE, Cochrane Library, CINAHL, EMBASE, and PsycINFO from inception to November 15, 2020. This systematic review followed the Preferred Reporting Items for Systematic Review and Meta-analysis guidelines. The Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross-Sectional Studies was used for quality assessment.
Findings: Nineteen studies met the review criteria; the studies were either cross-sectional or longitudinal. Most studies have focused on personal factors affecting homebound older adults. The individual construct consisted of demographic, biological, psychological, functional, and health-related factors. The structural construct included architectural, environmental, community, and social factors. Based on the different definitions of homebound used in the studies, the prevalence of homebound status ranged from 3.5% to 39.8%.
Conclusions: The prevalence of homebound status among older adults varied depending on how homebound was defined. Homebound status is the interaction between the individual and structural constructs. Variations in cultural, political, and economic conditions could influence homebound status across countries over time. Comprehensive assessment and interventions for homebound older adults based on multidisciplinary approaches are recommended for nurses.
Clinical Relevance: This research will impact the development of nursing strategies to screen homebound older adults and provide targeted preventive interventions so that older adults with many risk factors do not become homebound.
(© 2021 The Authors. Journal of Nursing Scholarship published by Wiley Periodicals LLC on behalf of Sigma Theta Tau International.)

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