Objectives

To systematically review qualitative studies about home-dwelling older adults’ experiences of living with both frailty and multimorbidity.

Methods

This study adopted a meta-ethnography; the databases included PubMed, Embase, CINAHL, Web of Science, PsycINFO, SCOPUS, and Google Scholar. Qualitative peer-reviewed articles in English were searched up to December 31, 2021. Themes and concepts were extracted through constant comparison across the included studies by three reviewers.

Results

Of the 147 articles screened, nine qualitative articles, encompassing a total sample of 173 participants, were included. The four final synthesised themes were ‘Being isolated in a closed life,’ ‘Being dependent on help from others,’ ‘Rebuilding to maximise quality of life,’ and ‘Struggling to live a meaningful life.’

Conclusion

Home-dwelling older adults with both frailty and multimorbidity are more likely to be socially isolated due to their physical limitations and lack of integration between hospital-based care and community healthcare services.

中文翻译：

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居家老年人与体弱多病共存的经历：元民族志

目标

系统回顾关于居家老年人体弱多病的生活经历的定性研究。

方法

本研究采用元民族志；这些数据库包括 PubMed、Embase、CINAHL、Web of Science、PsycINFO、SCOPUS 和 Google Scholar。检索了截至 2021 年 12 月 31 日的英文定性同行评审文章。三位评审员通过对纳入研究的不断比较来提取主题和概念。

结果

在筛选的 147 篇文章中，包括 9 篇定性文章，包括 173 名参与者的总样本。最后的四个综合主题是“在封闭的生活中被孤立”、“依赖他人的帮助”、“重建以最大限度地提高生活质量”和“努力过上有意义的生活”。

结论

体弱多病的居家老年人由于身体限制以及医院护理和社区医疗服务之间缺乏整合，更有可能在社会上孤立。