生命末期的患者利他主义:一个范围审查
Anca-Cristina Sterie1,2, Gian Domenico Borasio1, Michael J Deml1
1Palliative and Supportive Care Service, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Palliative & supportive care
|April 12, 2024
概括
患者在生命末期 (EOL) 的利他主义研究不足. 研究表明,患者通过护理,治疗决策和预先计划表达利他主义,需要各种后果和干预措施.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 生物伦理学生物伦理学
- 心理学 心理学 心理学
背景情况:
- 生命终端 (EOL) 护理中的患者利他主义研究不足,与专业和家庭利他主义的关注形成鲜明对比.
- 患有EOL的患者通常被认为是被动的,忽视了他们对利他主义行为的潜力.
研究的目的:
- 系统地审查和总结EOL背景下关于患者利他主义的现有科学文献.
- 探索患者利他主义是如何被概念化,表达的,以及它在EOL护理中的后果.
主要方法:
- 在2023年5月进行了全面的范围审查,搜索了11个数据库.
- 遵循PRISMA指南,提取数据并将其映射成四个关键主题.
- 在选2893个检索记录后,包括了33篇文章.
主要成果:
- 患者利他主义被定义为对他人有益的行为或意图,通过支持,治疗决定或事先的护理计划来表达.
- 后果范围从以患者为中心 (意义,生活质量) 到非患者为中心 (遗产,成本节省) 和负面影响.
- 干预措施包括具体行动,未来护理规划机会和承认患者的动机.
结论:
- 目前关于息治疗中的患者利他主义的研究是有限的,其概念化是异质的.
- 进一步的概念,经验和理论研究患者利他主义在EOL是必不可少的.
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