一篇关于姑息治疗、生命末期和痴呆症的文献综述。

A literature review of palliative care, end of life, and dementia.

作者信息

Roger Kerstin Stieber

机构信息

Manitoba Palliative Care Research Unit, CancerCare Manitoba, Winnipeg, Manitoba, Canada.

出版信息

Palliat Support Care. 2006 Sep;4(3):295-303. doi: 10.1017/s1478951506060378.

DOI:10.1017/s1478951506060378

PMID:17066971

Abstract

OBJECTIVE

Little attention has been paid in research to the palliative care of those dying with dementia. This literature review summarizes current research in the social sciences, including medical sociology on palliative care in the example of dementia.

METHODS

A designated set of search words was applied to a comprehensive set of university-based search engines to ensure that relevant social science research since 200 was included.

RESULTS

Primary themes discussed in the article include person-centered care, grief, agitation, aggression, pain management, care provision, training and education, decision-making, primary settings of care, and spirituality and dignity. Other key gaps in the literature are discussed. SIGNIFICANCE OF THE RESULTS: Given the projected increase within the next 20 years of people dying with dementia (Hanrahan et al., 2001), palliative care for those dying with dementia will become more relevant than ever.

摘要

目的

在研究中，人们对痴呆症临终患者的姑息治疗关注甚少。这篇文献综述总结了社会科学领域的当前研究，以痴呆症为例，包括医学社会学中关于姑息治疗的研究。

方法

将一组指定的搜索词应用于一系列全面的基于大学的搜索引擎，以确保纳入自200年以来的相关社会科学研究。

结果

文章中讨论的主要主题包括以人为本的护理、悲伤、激越、攻击行为、疼痛管理、护理提供、培训与教育、决策、主要护理场所，以及精神性和尊严。文中还讨论了文献中的其他关键空白。结果的意义：鉴于预计在未来20年内死于痴呆症的人数将会增加（汉拉汉等人，2001年），对痴呆症临终患者的姑息治疗将比以往任何时候都更加重要。