主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2020, Vol. 20 ›› Issue (5): 740-746.doi: 10.3969/j.issn.1672-1756.2020.05.020

• 循证护理 • 上一篇    下一篇

专业照护人员对“善终”看法的Meta整合

曾纪丽 胡芬 罗丹 徐丹丹 李朝阳 程晓琳 柯苏苏   

  1. 长江大学医学部,430071 武汉市(曾纪丽,徐丹丹,柯苏苏);武汉大学中南医院重症医学科(曾纪丽,胡芬,徐丹丹,李朝阳);护理部(程晓琳);武汉大学健康学院(罗丹)
  • 出版日期:2020-05-15 发布日期:2020-05-15
  • 通讯作者: 胡芬,硕士,副主任护师,门急诊/重症、特殊区域总护士长,E-mail:hufen@znhospital.cn
  • 作者简介:曾纪丽,硕士在读
  • 基金资助:
    湖北省卫生健康委联合基金(WJ2019H047)

Meta integration of qualitative research on perception of professional caregivers' views of good death

ZENG Jili, HU Fen, LUO Dan, XU Dandan, LI Zhaoyang, CHENG Xiaolin, KE Susu   

  1. chool of Medicine, Yangtze University, Wuhan, 430071, China
  • Online:2020-05-15 Published:2020-05-15
  • Contact: E-mail:hufen@znhospital.cn

摘要: 目的:系统评价专业照护人员对善终看法及体会的质性研究,为改善生命末期患者死亡质量提供参考依据。方法:系统检索PubMed、CINAHL Complete、PsycINFO、Embase、中国生物医学文献数据库、中国知网、万方、维普数据库中的专业照护者对善终的评价、看法及经验的质性研究,检索时限从建库至2020年1月。按照JBI循证卫生保健中心质性研究质量评价(2017年版)为标准对纳入文献进行质量评价,采用汇集性整合的方法对结果进行整合。结果:共纳入16项研究,英文15篇,中文1篇,提炼其研究结果,归为16个类别,汇集成4个整合结果,分别为:患者接受全人照护;患者及家属有较好的死亡准备度;有适宜的死亡情境;有多学科团队提供照护。结论:东西方文化对善终的理解有异同之处,专业照护人员应充分评估终末期患者和家属的需求,采取针对性的措施帮助患者实现善终。

关键词: 专业照护人员;善终;质性研究;Meta整合

Abstract: Objective: To systematically review and synthesize the experience of Professional caregivers in order to provide evidence for improving the quality of dying and death of patients at the end of life. Methods: We searched the databases including PubMed, CINAHL Complete, PsycINFO, Embase, CBM, CNKI, Wanfang Data, and VIP to collect qualitative studies about experience of good death of professional caregivers, The JBI Critical Appraisal Tool for qualitative studies (2017 edition)was used to evaluate the quality of studies. Meta-synthesis was applied to integrate the results. Results: Totally 16 studies containing 88 findings were included. Then 16 new categories were generated and finally 4 synthesized results were obtained:patients receive whole-person care;patients and their families had preparation for death; appropriate care environment for death; multidisciplinary teams provide care. Conclusion: There are similarities and differences between eastern and western cultures in understanding a good death. Professional caregivers should fully assess the needs of end-stage patients and their families, and take targeted measures to help patients achieve a good death.

Key words: professional caregivers; good death; qualitative research; Meta integration

中图分类号: 

  • R47