Effectiveness of home care services provided by nurse practitioners for older adults: a systematic review
10.3760/cma.j.cn115682-20240222-00896
- VernacularTitle:开业护士为老年人提供居家护理服务效果的系统评价
- Author:
Yan MA
1
;
Mengzhuo LIU
1
;
Yuhao CAO
1
;
Ying WU
1
Author Information
1. 首都医科大学护理学院成人护理学系，北京 100069
- Publication Type:Journal Article
- Keywords:
Nurse practitioners;
Aged;
Home care services;
Meta-analysis
- From:
Chinese Journal of Modern Nursing
2025;31(4):497-507
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the effectiveness of home care services nurse practitioners provide for older adults.Methods:Randomized controlled trials of home care services provided by nurse practitioners were electronically searched in PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Infrastructure, WanFang Data, and China Biology Medicine disc. The search period was from database establishment to January 30, 2024. Literature was screened according to the inclusion and exclusion criteria. The Cochrane Collaboration risk of bias assessment tool was used to evaluate the methodological quality of the literature, and meta-analysis was performed using Stata 15 software.Results:A total of 19 articles were included, involving 29 217 older adults. Meta-analysis showed that compared with conventional group, older adults who received home care services provided by nurse practitioners had better systolic blood pressure [ WMD=-5.607, 95% CI (-10.692, -0.522), P=0.031], body mass index [ WMD=-2.497, 95% CI (-4.550, -0.444), P=0.017], service satisfaction [ SMD=0.484, 95% CI (0.003, 0.964), P=0.049] and family caregiver burden [ SMD=-0.366, 95% CI (-0.670, -0.062), P=0.018], but higher total monthly medical costs per person [ WMD=105.103, 95% CI (24.932, 185.274), P=0.010]. There were no differences between the two groups regarding unplanned hospitalization rates, emergency room visits, blood glucose levels, lipid levels, mortality, quality of life, and activities of daily living. Conclusions:Home care services provided by nurse practitioners have improved older adults' satisfaction while lowering older adults' systolic blood pressure and body mass index and reducing the burden on family caregivers. However, the total cost of medical care per older adult per month is high. Although subgroup analyses of key indicators were conducted, it was still impossible to clarify the factors that influence the effectiveness of services provided by nurse practitioners.
