Pereira Alexandra, Ferreira Amélia, Martins José
Community Care Unit of Lousada, Rua de Santo Tirso 70, Meinedo, Lousada, 4620-848 Porto, Portugal.
Abel Salazar Biomedical Institute, R. Jorge de Viterbo Ferreira 228, 4050-313 Porto, Portugal.
Healthcare (Basel). 2019 Oct 24;7(4):122. doi: 10.3390/healthcare7040122.
: While evidence demonstrates that end-of-life care practices vary across countries, there is still a lack of evidence regarding the healthcare that is received by adult individuals in the last months of life in Portugal. : This is a systematic review that aims to examine the evidence published until 2019 regarding the healthcare received by adult individuals in the last months of life in Portugal. : Nine studies were included in this review. All of these were quantitative and retrospective studies, used patient records as the source of information, and were conducted in hospital settings. The time frame analysis before death ranged from 48 h to 3 months. The majority of the studies focused on the physical aspects of care, such as physical needs assessment and symptom management, prescribed medication, and invasive interventions. No evidence was found regarding spiritual, psychological, social or cultural needs. : Although using patient records as a source of information may introduce a bias, this study indicates that there is a greater emphasis on the physical aspects of care and less on the psychological, spiritual or social aspects of care received by adult individuals in their last months of life in Portugal.
虽然有证据表明临终关怀实践在不同国家存在差异，但关于葡萄牙成年个体在生命最后几个月所接受的医疗保健，仍然缺乏相关证据。
这是一项系统综述，旨在审视截至2019年发表的有关葡萄牙成年个体在生命最后几个月所接受医疗保健的证据。
该综述纳入了9项研究。所有这些都是定量和回顾性研究，将患者记录用作信息来源，且在医院环境中进行。死亡前的时间框架分析范围为48小时至3个月。大多数研究关注护理的身体方面，如身体需求评估和症状管理、处方药以及侵入性干预措施。未发现有关精神、心理、社会或文化需求的证据。
尽管将患者记录用作信息来源可能会引入偏差，但本研究表明，葡萄牙成年个体在生命最后几个月所接受的护理更侧重于身体方面，而对心理、精神或社会方面的关注较少。
