在重症监护室定义良好的死亡:系统性审查
Ifa Hafifah1, Wasinee Wisesrith1, Noraluk Ua-Kit1
1Doctor of Philosophy Program in Nursing Science, Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.
Indian journal of palliative care
|October 20, 2025
概括
在重症监护室 (ICU) 定义一个好的死亡对于终身护理至关重要. 这次审查确定了减少痛苦和家庭参与等关键主题,突出了患者,家庭和医疗保健专业人员之间的不同观点.
科学领域:
- 关键护理医学 关键护理医学
- 抚慰性护理是一种缓解性护理.
- 医学伦理 医学伦理
背景情况:
- 在重症监护室 (ICU) 提供有效的终身护理需要清楚理解"良好的死亡".
- 现有的文献往往忽略了独特的ICU环境,并专注于末期患者.
- 本研究探讨了需要在ICU背景下具体定义良好的死亡.
研究的目的:
- 从患者,家庭成员和医疗保健专业人员 (HCP) 在ICU的角度系统审查和综合良好的死亡的定义.
- 确定不同利益相关者群体对善良死亡的理解中的共同主题和差异.
- 为临床实践和未来关于临终关怀在重症监护机构的研究提供信息.
主要方法:
- 一个遵循PRISMA 2020指南的系统审查,搜索PubMed,ScienceDirect和EBSCOhost.
- 包括到2024年8月30日发表的英语定量和定性研究,重点关注ICU中的良好死亡定义.
- 使用Joanna Briggs研究所批判性评估检查清单和叙事合成进行数据分析的偏见风险评估.
主要成果:
- 包括35项高质量的研究,其中60%的研究重点是家庭成员的观点.
- 五个主要主题出现了:免受痛苦的自由,撤回/扣留维持生命的治疗,隐私,家庭参与和精神/文化支持.
- 观察到显著的差异:家庭优先考虑摆脱痛苦,患者强调家庭参与,医疗人员强调精神/文化支持.
结论:
- 这项研究阐明了ICU中良好的死亡的多方面的定义,包括身体,情感和精神的维度.
- 认识到患者,家庭和医疗保健人员的不同观点对于提供以患者为中心的终身护理至关重要.
- 未来的研究应该探索影响ICU中实现良好的死亡的因素,以提高护理质量.
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