Lemus-Riscanevo Paula, Carreño-Moreno Sonia, Arias-Rojas Mauricio
Universidad Nacional de Colombia, Nursing Faculty, Research Group Nursing Care for the Chronic Patient, Bogota, Colombia.
Universidad de Antioquia, Nursing Faculty, Medellin, Colombia.
Indian J Palliat Care. 2019 Jan-Mar;25(1):24-29. doi: 10.4103/IJPC.IJPC_183_18.
With chronic diseases on the rise, there is a growing demand for palliative care. The global landscape of the integration of palliative care into health-care systems is incipient, which leads to a lack of social awareness of this reality and consequently, to communication failures, particularly a conspiracy of silence. The aim of this study was to analyze the concept of conspiracy of silence in palliative care.
Walker and Avant method of concept analysis was used. Review and synthesis of literature supported the analysis process. Forty-seven articles were analyzed.
Results showed that the conspiracy of silence in palliative care is a communication failure, typical of limited life expectancy prognosis, and involves patients, their families, and health-care teams. Lack of autonomy, overburden, family malfunctioning and coping, and health-care dehumanization are consequences of the conspiracy of silence in palliative care.
The present study had found that scales to measure this concept as well as interventions that consider important factors in the communication process in palliative care identified in this analysis are needed.
随着慢性病发病率的上升，对姑息治疗的需求日益增加。姑息治疗融入卫生保健系统的全球格局尚处于起步阶段，这导致社会对这一现实缺乏认识，进而引发沟通障碍，尤其是沉默阴谋。本研究旨在分析姑息治疗中沉默阴谋的概念。
采用沃克和阿凡特的概念分析方法。文献回顾与综合支持了分析过程。分析了47篇文章。
结果表明，姑息治疗中的沉默阴谋是一种沟通障碍，典型特征是预期寿命有限，涉及患者、其家人和医疗团队。缺乏自主性、负担过重、家庭功能失调与应对以及医疗服务非人性化是姑息治疗中沉默阴谋的后果。
本研究发现，需要有衡量这一概念的量表以及考虑本分析中确定的姑息治疗沟通过程重要因素的干预措施。
