临终患者真实体验质性研究的系统评价

发布时间：2018-04-12 10:58

本文选题：临终病人 + 真实体验　；参考：《中华护理杂志》2017年06期

【摘要】：目的系统评价有关我国临终患者内心需求和情感体验的质性研究,为医院、社区及临终照护机构更好地开展临终关怀工作提供依据。方法计算机检索Psyc INFO、MEDLINE、EMbase与CINAHL 4个英文数据库以及中国生物医学文献数据库、中国学术期刊全文数据库2个中文数据库,收集关于临终患者内心需求和真实体验的质性研究,检索时限均为从建库至2016年8月。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准(2016)对文献进行评价,并采用汇集性整合方法对结果进行整合。结果共纳入9项研究,提炼75个明确的研究结果,将相似结果归纳组合形成5个新的类别,并综合成2个整合结果。整合结果1:临终患者面对身体和心理双重负担,渴求得到家庭及外界支持;整合结果2:临终患者接纳死亡,但仍心怀希望,积极维护尊严并找寻生命的意义。结论医院、社区及机构相关工作人员应了解并尊重临终患者需求,给予患者合理的临终关怀措施,提高临终患者的生命质量。
[Abstract]:Objective to systematically evaluate the qualitative research on the inner needs and emotional experience of dying patients in China so as to provide evidence for hospitals, communities and hospice care institutions to better carry out hospice care work.The time limit for retrieval is from the construction of the database to August 2016.The literature was evaluated by the quality evaluation standard of JBI Evidence-Based Health Care Center (JBI) in Australia (2016) and the results were integrated by aggregative integration method.Results A total of 9 studies were included and 75 definite results were extracted. The similar results were grouped into 5 new categories and synthesized into 2 integrated results.Integration results 1: dying patients face the double burden of body and psychology, yearning for family and external support; 2: terminal patients accept death, but still have hope, actively maintain dignity and find the meaning of life.Conclusion the hospital, community and organization staff should understand and respect the needs of dying patients and give them reasonable hospice care measures to improve the quality of life of terminally ill patients.
【作者单位】：中南大学湘雅护理学院;西澳大学外科学院癌症与姑息治疗研究所;
【分类号】：R48

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