家庭成员在使用利物浦临终关怀路径的养老院中照顾临终者的经历。
Family members' experiences of care of the dying in residential care homes where the Liverpool Care Pathway was used.
作者信息
Andersson Sofia, Lindqvist Olav, Fürst Carl-Johan, Brännström Margareta
机构信息
Registered Nurse, PhD student, Department of Nursing, Umeå University, Umeå, Sweden.
Registered Nurse, Senior lecturer, Department of Nursing, Umeå University; Department of Learning, Informatics, Management and Ethics/Division of Innovative Care, Karolinska Institutet, Stockholm, Sweden.
出版信息
Int J Palliat Nurs. 2018 Apr 2;24(4):194-202. doi: 10.12968/ijpn.2018.24.4.194.
BACKGROUND
Residential care homes (RCHs) are increasingly becoming a common place of death for older people.
AIM
The aim of this study was to describe family members' experiences of care of the dying in RCHs where the Liverpool care pathway for the dying patient was used.
METHODS
This study had a descriptive qualitative study design. Fifteen (n=15) individual interviews were analysed using qualitative content analysis.
RESULTS
The analysis resulted in three themes: being confident in a familiar and warm atmosphere, being involved vs not being involved in end-of-life (EoL) care, and being consoled by witnessing the health professional's endeavour to relieve suffering.
SIGNIFICANCE OF RESULTS
The results indicated that taking part in a care plan seems to increase family members' feelings of involvement in EoL care. This study also highlights the family members' needs for increased possibilities for EoL discussions with the GP.
背景
养老院正日益成为老年人常见的死亡场所。
目的
本研究的目的是描述在采用利物浦临终关怀路径的养老院中，家庭成员对临终护理的体验。
方法
本研究采用描述性定性研究设计。使用定性内容分析法对15次个人访谈进行了分析。
结果
分析得出三个主题：在熟悉温暖的氛围中感到安心；参与或未参与临终护理；因目睹医护人员努力减轻痛苦而得到慰藉。
结果的意义
结果表明，参与护理计划似乎会增强家庭成员对临终护理的参与感。本研究还强调了家庭成员需要有更多机会与全科医生进行临终讨论。
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