目前关于高级多发性疾病的定义:用于范围审查的协议
Sarah P Bowers1, Polly Black2, Lewis McCheyne3
1University of St Andrews School of Medicine, St Andrews, UK sb461@st-andrews.ac.uk.
BMJ open
|November 30, 2023
概括
确保多病症患者的优质护理,尤其是在生命的末期,是一个挑战. 本综述探讨了多病症如何在研究,政策和实践中得到解决,以改善人们获得息护理的机会.
科学领域:
- 老年学是指老年学的学科.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着多种疾病的日益流行,医疗保健系统面临重大挑战,特别是提供高质量的终身护理.
- 患有多病症的个体通常有未满足的息和终身护理需求,通常是由于当前系统无法识别其终端阶段.
- 对于许多多病症患者来说,获得专业的息护理服务是不理想的.
研究的目的:
- 进行范围审查,以确定和综合现有证据,将多病症患者纳入研究,政策和临床实践.
- 探索如何在终身和息护理的背景下定义和解决多病症.
- 突出差距和改善对这一群体的护理的机会.
主要方法:
- 一种基于Arksey和O'Malley框架的范围审查方法,遵循PRISMA扩展范围审查.
- 系统地搜索多个数据库 (Medline,EMBASE,CINAHL,Scopus,PsycINFO) 和灰色文献,使用关键字:"多发病"",生命结束"和"息治疗".
- 纳入标准集中在文献中,定义了在疾病末期阶段患有多病症的成年人;分析涉及描述性特征和诱导性内容分析.
主要成果:
- 该审查将系统地绘制有关生命末期多病症的研究,政策和临床实践的现状.
- 分析将确定临终疾病中多病症的定义和方法的共同点和变化.
- 结果将阐明当前系统如何有效地识别和支持临近生命末期的多病症患者.
结论:
- 改进的识别策略对于将多病症患者连接到基本的息和终身护理服务至关重要.
- 这些发现将为未来的研究,政策制定和临床实践指南提供信息,以提高这种不断增长的人口的护理质量.
- 这项工作旨在弥合多病症患者复杂需求和及时提供适当的生命终端护理之间的差距.
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