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 ›› 2024, Vol. 24 ›› Issue (2): 165-170.doi: 10.3969/j.issn.1672-1756.2024.02.002

• 特别策划·安宁疗护与生死教育 • 上一篇    下一篇

成人安宁疗护共同照护管理的证据总结

谌永毅 郭俊晨 曾令好 沈波涌 肖亚洲 胡永红 杨索   

  1. 湖南省肿瘤医院/中南大学湘雅医学院附属肿瘤医院护理部,410006 长沙市(谌永毅,郭俊晨,沈波涌,杨索);院办公室(肖亚洲,胡永红);南华大学护理学院(曾令好)
  • 出版日期:2024-02-15 发布日期:2024-02-15
  • 通讯作者: 郭俊晨,硕士,E-mail:2451336829@qq.com;胡永红,硕士,副主任护师,党委副书记,E-mail:307929759@qq.com E-mail:E-mail:414700595@qq.com
  • 作者简介:谌永毅,博士,主任护师,中华护理学会安宁疗护专业委员会主任委员,E-mail:414700595@qq.com
  • 基金资助:
    湖南省科技厅重点领域研发计划项目(2020SK2121);湖南省自然科学基金面上项目(2020JJ4417);湖南省卫生健康委员会一般指导项目(D202314058838)

Evidence summary for shared-care management of adult hospice care

CHEN Yongyi, GUO Junchen, ZENG Linghao, SHEN Boyong, XIAO Yazhou, HU Yonghong, YANG Suo   

  1. Nursing Department, Hunan Cancer Hospital, Changsha, 410006, China
  • Online:2024-02-15 Published:2024-02-15
  • Contact: E-mail:2451336829@qq.com;E-mail:307929759@qq.com E-mail:E-mail:414700595@qq.com

摘要: 目的:提取并汇总成人安宁疗护共同照护管理的相关证据,为我国医护人员开展生命终末期患者安宁疗护共同照护提供循证支持。方法:系统检索中英文数据库或网站中关于成人安宁疗护共同照护管理的所有证据,检索时限为建库至2023年11月。由研究者进行文献质量评价、证据审校与提取,并经循证研究小组讨论后整合证据。结果:共纳入14篇文献,其中临床决策3篇、指南6篇、专家共识1篇、类实验研究4篇。从团队组成、适用对象、服务流程、服务内容、启动时机及照护期限、注意事项、效果评价、质量控制8个方面汇总25条证据。结论:临床医护人员应用本研究汇总的成人安宁疗护共同照护管理证据时,应结合我国文化背景,进行本土化调适并关注证据的更新,以为患者提供标准且规范的安宁疗护共同照护服务。

关键词: 安宁疗护;共同照护;生命末期;证据总结;循证护理

Abstract: Objective: To extract and summarize the evidence related to hospice shared-care management in adults, and provide an evidence-based support for healthcare professionals in the development of hospice shared-care for end-of-life patients. Methods: We systematically searched Chinese and English databases to collect all evidences about the hospice shared-care management in adults, the search time was limited from the establishment of the databases to November, 2023. Researchers assessed the quality of the literature, reviewed and extracted the evidence, and integrated the evidence after discussion by the evidence-based research group. Results: Totally 14 articles were involved, including 3 clinical decisions, 6 guidelines, 1 expert consensus and 4 quasi-experimental studies. Finally, 25 pieces of evidence have been obtained from 8 aspects, including the team composition, applicable population, service process, service contents, timing of initiation and duration of care, precautions, evaluation of effectiveness, quality control. Conclusion: When applying the evidence, clinical healthcare professionals should take into account the cultural context, make localized adaptations and pay attention to the updating of the evidence, in order to provide patients with standardized and regulated hospice shared-care services.

Key words: hospice care; shared-care; end of life; evidence summary; evidence-based nursing

中图分类号:  R47;R197