严重疾病对话的核心要素:综合性系统性审查
Rebecca Baxter1, Susanna Pusa2, Sofia Andersson2
1Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University-Vaxjo Campus, Vaxjo, Sweden rebecca.baxter@lnu.se.
BMJ supportive & palliative care
|June 27, 2023
概括
这次审查确定了严重疾病对话的核心元素,重点关注患者的重要问题,并调整他们的护理偏好. 了解这些因素可以改进严重疾病护理计划和指南.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在医疗保健领域的沟通
- 患者为中心的医学
背景情况:
- 阿里亚德尼实验室的严重疾病护理计划 (SICP) 和严重疾病对话指南 (SICG) 得到了广泛的调整.
- 了解严重疾病对话的核心元素对于程序改进至关重要.
研究的目的:
- 识别和描述严重疾病对话的核心元素.
- 检查这些元素与SICP和/或SICG相关.
主要方法:
- 2014年1月~2023年3月出版的综合性系统文献综述.
- 在 MEDLINE,PsycINFO,CINAHL 和 PubMed 中进行搜索.
- 来自64篇入选文章的数据的主题综合,使用Joanna Briggs研究所批判性评估指南进行评估.
主要成果:
- 严重疾病的谈话服务于各种功能,并相应地传达.
- 谈话的目的是揭示患者的优先事项和对他们来说最重要的事情.
- 谈话努力使患者的愿望与他们的生活和护理计划保持一致.
结论:
- 核心元素包括解释对话的意图,框架,期望和方向.
- 讨论涉及目前/潜在的轨迹来发现患者的价值观.
- 患者的偏好和优先事项为未来的护理规划和建议提供了信息.
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