Instruments for the functional assessment of elderly persons in palliative care: an integrative review

Abstract Objective: to identify validated instruments that can be used for the functional assessment of elderly persons in Palliative Care. Method: an integrative review focused on identifying instruments for the functional assessment of elderly persons in palliative care was carried out by searching publications in periodicals indexed in seven electronic databases. Descriptors, keywords and Boolean operators were used for a cross-database search in November 2017. A total of 357 abstracts were identified, from which 53 articles were selected for reading, of which 21 met the inclusion criteria. Results: this strategy allowed the identification of eight scales and one test for the functional assessment of elderly persons in palliative care. Conclusion: eight scales and a functional test which also provide guidelines for improving the quality of life of elderly people in palliative care were identified, demonstrating that it is practically impossible to disassociate physical functional performance from social and psychological aspects.摘要 研究目的：识别可用于姑息治疗（Palliative Care）老年人群功能评估（functional assessment）的经过信效度验证的评估工具。 研究方法：本研究为整合性综述（integrative review），旨在筛选适用于姑息治疗老年人群功能评估的工具，通过检索7个电子数据库收录的期刊文献开展研究。2017年11月，采用描述词、关键词与布尔运算符（Boolean operators）开展跨数据库检索。最终共检索到357篇摘要，从中筛选出53篇文献进行全文研读，其中21篇符合纳入标准（inclusion criteria）。 研究结果：通过本检索策略，共识别出8个量表与1项用于姑息治疗老年人群功能评估的测试工具。 研究结论：本次研究明确的8个量表及1项功能测试工具，可为改善姑息治疗老年人群的生活质量提供指导，同时证实躯体功能表现与社会、心理层面的关联实际上难以割裂。