在生命末期的决策中允许自然死亡
Jodi Erickson1, Mary Ann Cantrell2, Meredith MacKenzie Greenle2
1University of Washington - Tacoma School of Nursing & Healthcare Leadership.
概括
允许自然死亡 (AND) 影响生命终结决策,但其含义在医疗保健提供者和代理决策者之间不一致. 需要进一步的研究来澄清人们的看法,并改善EOL沟通.
科学领域:
- 医学伦理 医学伦理
- 抚慰性护理是一种缓解性护理.
- 卫生沟通健康沟通
背景情况:
- 生命末期 (EOL) 讨论使用了诸如"不复苏" (DNR) 和"允许自然死亡" (AND) 等术语.
- 允许自然死亡 (AND) 是一个较新的术语,在EOL决策中影响较少.
研究的目的:
- 审查关于允许自然死亡 (AND) 在EOL决策中的使用和影响的经验文献.
- 综合当前对AND如何影响患者和代孕选择的理解.
主要方法:
- 对AND在EOL决策中的经验研究进行系统审查.
- 搜索了数据库 (PsycINFO,CINAHL,PubMed) 的英语出版物从2008年至2018年.
主要成果:
- 审查了8个出版物,表明并且影响了EOL决策.
- 术语AND对于医疗保健提供者和代理决策者来说缺乏一致的含义.
- 参与各方对 AND 的理解有很大差异.
结论:
- 允许自然死亡 (AND) 对EOL决策产生影响,但其含糊不清的含义阻碍了有效的沟通.
- 进一步的研究对于探索医疗保健提供者,代孕产妇,患者和健康成年人对 AND 的看法至关重要.
- 澄清 AND 的含义可以提高 EOL 护理中的沟通和决策过程.
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