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晚期患者的预期医嘱和生前预嘱:一项综合综述。

Anticipated directives and living will for terminal patients: an integrative review.

作者信息

Cogo Silvana Bastos, Lunardi Valéria Lerch

机构信息

Programa de Pós-Graduação em Enfermagem, Departamento de Enfermagem, Universidade Federal do Rio Grande, Rio Grande, RS, BR.

出版信息

Rev Bras Enferm. 2015 May-Jun;68(3):464-74, 524-34. doi: 10.1590/0034-7167.2015680321i.

DOI:10.1590/0034-7167.2015680321i
PMID:26312526
Abstract

OBJECTIVE

characterizing the national and international scientific literature about the advanced directives of living will as applied to the terminally ill patient.

METHOD

integrative review considering the articles published in Portal Capes, SciELO, LILACS, MEDLINE, Journal of Bioethics and Bioethikos, with the descriptors: Advanced directives, Wills regarding life and Advance Directives, Living Will and Terminally Ill, totaling 44 articles submitted to content analysis.

RESULTS

three categories emerged: Students and professionals facing the advance directives of living will: Perceptions, opinions and practices; Patient's receptivity to the Advance Directives of Living Will; The family facing the advance directives of living will.

CONCLUSION

the relevance of the topic became evident as a guarantee of respect for the dignity and autonomy of the patient, as well as to reduce ethical conflicts faced by families and health professionals facing care at the end of life.

摘要

目的

对国内外有关适用于晚期患者的生前预嘱的科学文献进行特征分析。

方法

综合回顾发表于巴西高等教育人员素质提升协调办公室(Capes)数据库、科学电子图书馆在线(SciELO)、拉丁美洲和加勒比卫生科学数据库(LILACS)、医学文献数据库(MEDLINE)、《生物伦理学杂志》和《生物伦理学》上的文章,关键词为:生前预嘱、生命遗嘱和预先指令、生前预嘱与晚期患者,共44篇文章纳入内容分析。

结果

出现了三个类别:面对生前预嘱的学生和专业人员:认知、观点和实践;患者对生前预嘱的接受度;面对生前预嘱的家庭。

结论

该主题的相关性显而易见,它是尊重患者尊严和自主权的保障,也是减少家庭和医护人员在临终护理中面临的伦理冲突的保障。

相似文献

1
Anticipated directives and living will for terminal patients: an integrative review.晚期患者的预期医嘱和生前预嘱:一项综合综述。
Rev Bras Enferm. 2015 May-Jun;68(3):464-74, 524-34. doi: 10.1590/0034-7167.2015680321i.
2
[Ethical issues in the practice of advance directives, living wills, and self-determination in end of life care].[临终关怀中预立医疗指示、生前遗嘱及自我决定权实施中的伦理问题]
Hu Li Za Zhi. 2009 Feb;56(1):17-22.
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Legislating advance directives for the terminally ill: the living will and durable power of attorney.为绝症患者制定预先医疗指示:生前预嘱与医疗委托授权书。
Neb Law Rev. 1984;63(4):779-809.
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Advance directives and living wills: the role of patient's autonomy in the Brazilian experience.预立医疗指示和生前遗嘱:患者自主权在巴西经验中的作用。
Med Law. 2013 Dec;32(4):459-80.
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Advance directives: implications for critical care.预先指示:对重症监护的影响。
Crit Care Med. 1992 Jul;20(7):1027-31.
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The values history. The evaluation of the patient's values and advance directives.价值观历史。对患者价值观和预先指示的评估。
J Fam Pract. 1991 Feb;32(2):145-53.
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Physicians's reports on the impact of living wills at the end of life in Japan.日本医生关于生前预嘱对临终生活影响的报告。
J Med Ethics. 2003 Aug;29(4):248-52. doi: 10.1136/jme.29.4.248.
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Navigating Ethical Conflicts Between Advance Directives and Surrogate Decision-Makers' Interpretations of Patient Wishes.在预先指示与代理人对患者意愿的解释之间的伦理冲突中进行导航。
Chest. 2016 Feb;149(2):562-567. doi: 10.1378/chest.15-2209. Epub 2016 Jan 12.
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[Advance directives in clinical practice : Living will, healthcare power of attorney and care directive].[临床实践中的预立医疗指示:生前预嘱、医疗代理委托书和护理指示]
Anaesthesist. 2017 Apr;66(4):295-304. doi: 10.1007/s00101-017-0297-1.
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Advance directives and living wills.预先医疗指示和生前遗嘱。
NeuroRehabilitation. 2004;19(4):305-13.

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A systematic scoping review on patients' perceptions of dignity.系统评价患者尊严感的研究。
BMC Palliat Care. 2022 Jul 4;21(1):118. doi: 10.1186/s12904-022-01004-4.
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Are advance directives helpful for good end of life decision making: a cross sectional survey of health professionals.预立医疗指示对做出良好的临终决策有帮助吗:一项针对卫生专业人员的横断面调查
BMC Med Ethics. 2017 Jun 5;18(1):40. doi: 10.1186/s12910-017-0197-6.