イスラム教徒の入院患者のための宗教および医療に敏感な緩和ケアガイドラインの開発: スコーピングレビュー
Ajaratu Lampinley1, Celia J Filmalter1, Daniel Orogun2
1Department of Nursing Science, Faculty of Health Sciences, University of Pretoria, Room 8-36 Level, HW Snyman Building, Private Bag X323, Arcadia, 0007, Pretoria, South Africa.
まとめ
イスラム教徒の患者の緩和ケアには,宗教的な対処法と家族の関与を統合する必要があります. 特にサハラ以南のアフリカでは,イスラム教に敏感なガイドラインを策定し,イマームを巻き込むことが極めて重要です.
科学分野:
- 緩和ケアに関する研究
- イスラムのバイオエシック
- ヘルスケア・デリバリー・システム
背景:
- イスラム教徒の患者には,文化と宗教に敏感な緩和ケアが必要です.
- 既存の緩和ケアモデルは,イスラムの価値観や慣行に適切に対応していない可能性があります.
- 高等病院の環境は,総合的なケアを提供するためにユニークな課題を提示します.
研究 の 目的:
- 緩和ケアを受けるイスラム教徒の入院患者に対する宗教的および医療上の考慮事項に関する証拠を統合する.
- サハラ以南のアフリカにおけるイスラム教に敏感な緩和ケアガイドラインの開発を図る.
- イスラム教徒の患者に対する緩和ケアに関する研究と実践におけるギャップを特定する.
主な方法:
- ジョアンナ・ブリッグス研究所 (Joanna Briggs Institute) の方法論に従ったスコーピングレビュー.
- PRISMA-ScRチェックリストの遵守.
- 主要なデータベース (PubMed,Scopus,Web of Scienceなど) で体系的な文献検索を行っています. ) を実施する.
- サンダースの全痛モデルとWHOの保健システム応答性フレームワークを用いたフレームワークの合成.
主要な成果:
- 宗教的な対処法 (祈り,クルアーン朗読) は,精神的,感情的な幸福のために不可欠です.
- 家族の意思決定は,しばしば患者の自律性を凌駕する.
- イマームは霊的ケアにおいて重要な役割を果たしているが,一貫した制度的統合が欠けている.
- 制度的な障壁には,イスラム教に敏感な政策の欠如と不十分なスタッフの訓練が含まれます.
- サハラ以南のアフリカの文脈は,文献で過小評価されています.
結論:
- 精神的なケアは,イスラム教徒の患者のための総合的な緩和ケアに不可欠です.
- イスラム教に敏感な緩和ケアガイドラインの開発が緊急に必要である.
- イマームを緩和ケアチームに構造的に統合することが推奨されます.
- アフリカが主導する研究への投資の増加は,文脈特有の証拠に不可欠です.
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