死亡地点的障碍和促进者:一个范围审查
Tina Pedersen1,2, Mette Raunkiær1,2, Vibeke Graven1,2
1REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital, Nyborg, Denmark.
Palliative & supportive care
|October 11, 2024
概括
了解影响死亡地点的因素是改善终身护理的关键. 结构性问题往往导致医院死亡,特别是在弱势群体中,强调需要更好的支持和规划.
科学领域:
- 终身护理研究 终身护理研究
- 社会医学科学 社会医学科学
- 医疗保健政策 医疗保健政策
背景情况:
- 大多数人喜欢在家里死去,但是许多因素影响了死亡的实际地点.
- 调查这些因素对于提高终身护理和与患者偏好协调护理至关重要.
研究的目的:
- 确定影响成人的死亡地点的障碍和促进因素.
- 为了在不同死亡地点比较这些因素.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 从2013年1月到2023年12月,在五个主要数据库 (MEDLINE,EMBASE,PUBMED,PsycINFO,CINAHL) 进行文献搜索.
- 包括描述成年人死亡地点障碍和/或促进因素的研究.
主要成果:
- 从最初的517项研究中,包括了95项研究.
- 确定的主题包括疾病因素 (疾病类型,轨迹,症状),个人因素 (年龄,性别,偏好) 和环境因素 (医疗保健准入,社会支持,居住).
结论:
- 死亡地点受到复杂的,往往累积的因素的影响,这些因素往往植根于结构问题.
- 弱势群体更有可能在医院死亡,往往缺乏息治疗和先进的护理规划.
- 疾病类型和社会支持显著影响死亡地点;需要进一步研究弱势群体的偏好.
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