Gruenewald David A, White Elizabeth J
Palliative Care and Hospice Service, Geriatrics and Extended Care Service, Veterans Affairs Puget Sound Health Care System, S-182-GEC, 1660 South Columbian Way, Seattle, WA 98108, USA.
Anesthesiol Clin. 2006 Mar;24(1):163-80, ix. doi: 10.1016/j.atc.2005.12.003.
A systematic literature review identified qualitative studies of issues important to older people near the end of their lives, to develop a model of the illness experience near the end of life based on the views of older people. Six elements were identified from 40 studies that comprise a core domain of the experience of illness while dying: burden, suffering, hope, dignity, decision making, and control and autonomy. These elements were interwoven with three main themes: contextual factors, perceptions and concerns, and response to illness. Collectively, the core domain and the three themes comprise a model of the experience of illness near the end of life.
一项系统的文献综述确定了对临终老年人重要问题的定性研究，以基于老年人的观点建立临终疾病体验模型。从40项研究中确定了六个要素，这些要素构成了临终疾病体验的核心领域：负担、痛苦、希望、尊严、决策以及控制与自主权。这些要素与三个主要主题相互交织：背景因素、认知与担忧以及对疾病的反应。核心领域和这三个主题共同构成了临终疾病体验模型。
