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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.

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。

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