亚洲家庭成员参与预先护理计划:综合性审查
Jing-Da Pan1,2, Ka Yan Ho3, Gui-Fen Guan1
1Department of Oncology, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong Province, China.
Palliative medicine
|February 25, 2025
概括
亚裔家庭成员愿意参与事先的护理计划,但由于文化因素和政策差距,实际参与度很低. 一个新的模型突出了文化敏感干预措施的障碍和促进因素.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 家庭成员在预先护理计划 (ACP) 中至关重要,对于患有生命限制疾病的患者来说.
- 亚洲的文化价值观强调以家庭为中心和父权主义,影响医疗保健决策.
研究的目的:
- 综合现有证据,了解亚洲家庭成员在ACP的参与程度.
- 确定影响其参与ACP的因素.
主要方法:
- 对21项研究进行了综合性审查.
- 在多个主要数据库中进行了搜索,包括MEDLINE,EMBASE,CINAHL,Web of Science,PubMed,Wan Fang,中国国家知识基础设施,Google Scholar和Open Gray.
主要成果:
- 亚洲家庭成员表现出很高的意愿,但实际参与ACP的参与度很低.
- 障碍包括法律不足,公共教育不足以及家/传统信仰.
- 开发了一个六维的概念模型,涵盖了ACP中的角色,技能,沟通和行为.
- 亲属虔诚对非洲和非洲的参与产生了悖论性的影响.
结论:
- 提出了一个文化敏感的家庭参与亚洲ACP的模式.
- 这种模式可以指导文化特定干预措施的发展.
- 建议包括制定立法,加强公共教育,并将文化特征纳入政策框架.
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