Division of Critical Care, Department of Pediatrics, University of Cincinnati, Cincinnati Children's Hospital and Medical Center, Cincinnati, OH 45229, USA.
Pediatr Clin North Am. 2013 Jun;60(3):725-39. doi: 10.1016/j.pcl.2013.02.009. Epub 2013 Mar 7.
Hospitalized children constitute most annual pediatric deaths in the United States. The details of "how-to" provide end-of-life (EOL) care are not consistently taught to staff and therefore the actual delivery of EOL care is often inconsistent and invariably negatively associated with the long-term mental health of both the patient's family and care providers. This review describes the pertinent aspects of end-of-life care in pediatrics. Finally, a framework to optimize the quality of death is described, which underscores the importance of synchrony between the care team and the family at the end of a child's life.
在美国，住院儿童构成了儿科年度死亡人数的大部分。“如何做”提供临终关怀的细节并未一致教授给工作人员，因此临终关怀的实际提供往往不一致，并且总是与患者家庭和护理人员的长期心理健康负相关。本综述描述了儿科临终关怀的相关方面。最后，描述了一个优化死亡质量的框架，该框架强调了在儿童生命结束时护理团队和家庭之间同步的重要性。
