Division of Nursing, Midwifery and Physiotherapy, Education Centre, Lincoln County Hospital, University of Nottingham, Lincoln, UK.
J Adv Nurs. 2012 May;68(5):981-93. doi: 10.1111/j.1365-2648.2011.05900.x. Epub 2011 Dec 29.
This article is a report of an integrative review to identify key elements of the physical hospital environment for end of life care of older adults and their families as reported by patients, relatives, staff and policy makers.
Globally ageing populations and increases in long-term illness mean that more people will need palliative care in the future. Despite policy initiatives to increase end of life care in the community, many older adults prefer, and will require, end of life care in hospital. Providing an appropriate physical environment for older adults requiring end of life care is important given concerns about hospital environments for this group.
Thirteen databases from 1966 to 2010 were searched including ASSIA, BNI, Cochrane Library, CINAHL, EMBASE, MEDLINE, PsycINFO, Social Science Citation Index, the Science Citation Index, HMIC and the National Research Register. Reference and citation tracking was performed on included publications.
An integrative review was conducted. Two reviewers independently screened titles and abstracts for inclusion and completed data extraction. Study quality is not reported as this poses methodological difficulties in integrative reviews. Data synthesis involved thematic analysis informed by the findings of included literature.
Ten articles were included. Four themes were identified: privacy as needed; proximity (physically and emotionally) to loved ones, home and nature; satisfaction with the physical environment; and deficiencies in physical environment.
Little evidence exists about physical hospital environments for end of life care of older adults and their families. More research is required in this field.
本文是对整合回顾的报告，旨在确定老年患者及其家属、亲属、工作人员和政策制定者报告的临终关怀物理医院环境的关键要素。
全球人口老龄化和长期疾病的增加意味着未来将有更多的人需要姑息治疗。尽管有增加社区临终关怀的政策举措，但许多老年人更喜欢并将需要在医院接受临终关怀。为需要临终关怀的老年人提供适当的物理环境非常重要，因为人们对这一群体的医院环境存在担忧。
从 1966 年到 2010 年，搜索了 13 个数据库，包括 ASSIA、BNI、Cochrane 图书馆、CINAHL、EMBASE、MEDLINE、PsycINFO、社会科学引文索引、科学引文索引、HMIC 和国家研究登记处。对纳入的出版物进行了参考文献和引文跟踪。
进行了综合审查。两名评审员独立筛选标题和摘要以确定是否纳入，并完成数据提取。由于整合综述在方法上存在困难，因此未报告研究质量。数据综合涉及主题分析，主题分析受纳入文献的发现的启发。
纳入了 10 篇文章。确定了四个主题：按需保护隐私；与亲人、家庭和自然的亲近（身体上和情感上）；对物理环境的满意度；以及物理环境的缺陷。
关于老年患者及其家属临终关怀的物理医院环境的证据很少。该领域需要更多的研究。
