中国大陆的'好死' - - 一个广泛的回顾
1Integrative Health Research, Department of Health Sciences, Faculty of Medicine, Lund University, Margaretavägen 1 B, S- 222 41 Lund, Sweden.
International journal of nursing studies advances
|May 15, 2024
概括
西方息治疗影响着中国,在定义"良好的死亡"方面带来了挑战. 这项研究揭示了中国传统哲学与西方医学之间的文化谈判,影响了各利益相关者对终身护理的理解.
科学领域:
- 息治疗和生命终结研究
- 跨文化医疗研究 跨文化医疗研究
- 健康和疾病的社会学
背景情况:
- 自20世纪80年代中期以来,西方的息护理哲学影响了中国大陆的息护理发展.
- 这种影响在中国背景下适应和整合这些哲学方面带来了重大挑战.
- 了解"良好的死亡"的概念对于有效的终身护理至关重要.
研究的目的:
- 探索在中国大陆的终身护理机构中对"良好的死亡"的多方面的理解.
- 调查不同利益关方,包括当局,医疗保健专业人员,患者及其亲属,对"良好的死亡"的观点.
- 确定塑造中国对"好死"观念的文化和哲学基础.
主要方法:
- 根据PRISMA-ScR检查清单进行了全面的范围审查.
- 文献搜索涵盖了2001年至2021年的主要数据库 (Medline,CINAHL,PsycInfo,科学网).
- 数据分析涉及19项实证研究和2份政治文件的描述性数值总结和定性主题分析.
主要成果:
- 主题分析确定了三个关键主题:"死亡的医疗化"",关于死亡的沟通 - 两个哲学之间的冲突"和"死亡和死亡是社会依赖的".
- "良好的死亡"通常被理解为无痛和无症状,尊严和共享决策很重要,但在不同参与者之间有所不同.
- 对"美好的死亡"的看法代表了中国传统哲学与西方医学实践之间的谈判,突出了对死亡的公开性和实际/社会准备的紧张关系.
结论:
- 在中国大陆理解"善死"时存在着重大的文化冲突.
- 西方哲学似乎影响了政治和医疗界的行为者,而中国传统哲学却与部分人口产生了共.
- 调和这些不同的哲学是推动文化敏感的终身护理的必要条件.
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