监狱中的息治疗和终身护理的促进者和障碍者
Catarina Correia-Garcia1, Carlos Galhardo-Branco2, Paulo Reis-Pina1,3
1Palliative Medicine Center, Faculty of Medicine, University of Lisbon, Lisboa, Portugal.
概括
改善监狱中的息和终身护理 (EOLC) 需要解决诸如有限的代理和负面态度等障碍. 利用家庭接入和工作人员支持等促进者对于监禁人员的公平照顾至关重要.
科学领域:
- 医学科学 医学科学 医学科学
- 社会学 社会学 社会学
- 公共卫生 公共卫生
背景情况:
- 监狱老龄化人口对慢性疾病管理和终身护理 (EOLC) 的需求日益增加.
- 惩戒设施在提供全面的息和EOLC方面面临着独特的挑战.
- 确保被监禁人员平等获得高质量的EOLC是一个日益严重的公共卫生问题.
研究的目的:
- 系统地审查和识别监狱环境中缓解和EOLC供应的促进者和障碍者.
- 综合患者,医疗保健专业人员和管理人员关于监狱EOLC的经验的定性发现.
- 为改善惩戒设施中EOLC的战略提供信息.
主要方法:
- 2014年1月至2022年12月期间发表的初级定性研究的系统审查.
- 在PubMed,Web of Science,Scopus和Cochrane数据库中进行的搜索.
- 包括专注于监狱中的息或EOLC的研究,涉及监禁人员,医疗保健专业人员,管理人员和州长.
主要成果:
- 包括来自澳大利亚,法国,英国和美国的五项中高质量研究.
- 确定了关键的促进者:获得家庭,监狱工作人员的支持,专业护理的可用性和文化/精神支持.
- 报告的重大障碍是:患者的不适,关系的约束,时间限制,协议的不确定性,受限制的患者代理权,负面态度,不平等,冲突的优先事项和缺乏悲伤支持.
结论:
- 解决已识别的障碍和利用促进者对于监狱中公平和富有同情心的EOLC至关重要.
- 政策制定者,医疗保健提供者和惩戒当局必须优先加强监狱息护理服务.
- 需要进一步的研究和有针对性的干预措施,以优化监禁人口的EOLC差异.
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