从瘤学到息护理的过渡:通过综合性审查探索障碍和促进者的障碍
Barbara Gonçalves1, Tamara Radojičić2, Carlos Centeno1,3
1Institute for Culture and Society-ATLANTES Global Observatory of Palliative Care, IdISNA- Instituto de Investigación Sanitaria de Navarra, University of Navarra, Pamplona, Spain.
BMC palliative care
|July 27, 2025
概括
改善晚期癌症患者从瘤学到息护理的过渡需要解决知识差距,文化因素,财政支持和组织问题. 加强沟通和协作是改善患者治疗结果的关键.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 晚期癌症患者在临终期经常出现严重症状.
- 瘤学和息护理的整合往往是分散的,导致患者体验低于最佳水平.
- 及时过渡到息护理对于症状管理和生活质量至关重要.
研究的目的:
- 探索影响癌症病患从瘤学转型到晚期癌症患者的息治疗的障碍和促进因素.
- 确定影响晚期癌症综合护理转型的关键因素.
- 为改善瘤学中的息护理整合策略提供信息.
主要方法:
- 2010-2023年经验研究的综合性审查.
- 在PubMed,PsycINFO,CINAHL和Cochrane数据库中进行的搜索,遵循PRISMA指南.
- 对38项研究进行了感应性主题分析,包括来自13个国家的研究.
主要成果:
- 六个新兴主题:知识/理解,文化方面,经济覆盖,临床情况,关系动态和组织问题.
- 障碍包括沟通不良,财务局限性和分散的护理.
- 调解员涉及改善对息护理的理解和加强专业间关系.
结论:
- 过渡到息护理受到多方面的因素的影响,需要注意沟通,文化能力和财务/组织结构.
- 有效的整合需要医疗保健专业人员,政策制定者,患者和护理人员之间的合作.
- 加强教育和以患者为中心的方法对于优化高级癌症护理过渡至关重要.
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