癌症的良好死亡 - 患者的观点:对定性研究的系统审查
Guiyun Wang1, Jinnan Xiao2, Zhihan Chen3
1School of Nursing, Shandong Xiehe University, Jinan, Shandong, China.
BMJ supportive & palliative care
|June 23, 2023
概括
了解癌症患者的良好死亡对于以患者为中心的息护理至关重要. 关键因素包括对癌症的认识,症状管理和文化影响,不仅仅是身体健康.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 定性研究是指质量研究.
背景情况:
- 以患者为中心的息护理需要了解患者对良好的死亡的看法.
- 对于癌症患者来说,定义一种良好的死亡至关重要.
研究的目的:
- 综合有关癌症患者对良好死亡的看法的证据.
- 制定一个框架,以了解良好的死亡的决定因素.
主要方法:
- 对定性数据的系统审查.
- 使用了来自Joanna Briggs研究所的三步合成过程.
主要成果:
- 七个综合发现出现了,包括对癌症的认识,疼痛/症状管理,健康死亡,记忆,个人观点和行为以及文化/宗教影响.
- 一个结构框架确定了外部因素和患者内部属性作为良好死亡的决定因素.
- 这些决定因素相互作用,并受到文化和宗教背景的影响.
结论:
- 良好的死亡是一个从癌症意识开始的过程,并在死亡后继续进行.
- 建议采用整体方法,整合身体,心理和心理社会干预措施.
- 增强积极的患者观点和行为可以改善生命和死亡的质量.
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