个人遗产和严重疾病的治疗选择:范围审查
Marlaine Figueroa Gray1, Sarah Randall2, Mateo Banegas3
1Kaiser Permanente Washington Health Research Institute, Seattle, Washington, USA Marlaine.S.Figueroagray@kp.org.
BMJ supportive & palliative care
|January 24, 2024
概括
遗留目标显著影响严重疾病患者的治疗决策. 了解这些目标对于提供以患者为中心的护理和确保人们按照他们的愿望被记住至关重要.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗决策 - - 医疗决策
- 健康心理学 心理健康心理学
背景情况:
- 遗产,或个人死后希望如何被记住,是严重疾病决策中未被充分探索的因素.
- 患者在严重疾病期间的选择受到对其遗产的深刻个人考虑的影响.
研究的目的:
- 探索面临严重疾病的个人如何构想遗产.
- 为了确定患者在考虑他们的遗产时做出的治疗选择.
主要方法:
- 1990年至2022年间发表的研究范围审查.
- 在多个电子数据库 (如PubMed,CINAHL,PsycInfo) 进行的搜索.
- 使用Atlas.ti与叙事合成.ti进行包含文章的分析.
主要成果:
- 三个主要的遗产目标出现了:自我记忆,社会自我记忆,以及对他人的福祉的影响.
- 这些目标影响严重疾病患者的治疗和健康行为选择.
- 具体的治疗选择是为了满足这些遗留的愿望.
结论:
- 遗产是患者选择治疗的重要因素.
- 了解患者的遗留目标对于提供全人,以患者为中心的护理至关重要.
- 需要进一步的研究,才能将遗留的考虑完全纳入临床实践.
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