Silva Rita Santos, Caldeira Sílvia, Coelho Adriana Neves, Apóstolo João Luís Alves
Center for Interdisciplinary Research in Health, Institute of Health Sciences, Universidade Católica Portuguesa, Lisbon, Portugal.
Portugal Centre for Evidence Based Practice: A Joanna Briggs Institute Centre of Excellence, Coimbra, Portugal.
JBI Evid Synth. 2020 Nov;18(11):2196-2230. doi: 10.11124/JBISRIR-D-19-00286.
The objective of this review is to map the nature and extent of forgiveness facilitation intervention implemented and evaluated in palliative care contexts.
Spiritual beliefs often include reconciliation and forgiveness, which are critical to patients and families in palliative care. Forgiveness facilitation can represent a valuable response as a multidisciplinary and non-pharmacological intervention to reduce suffering.
Studies including palliative care patients aged 18 years or over and assisted by palliative care teams, including all healthcare professionals, chaplains, and volunteers, were included in this review.
This scoping review is based on JBI methodology. The search was conducted in June 2017 and updated in December 2018 using international databases and gray literature in English, Spanish, German, Italian, and Portuguese.
A total of 23 articles were included in this review. The results suggest a growing interest in forgiveness facilitation in palliative care in different spiritual and religious traditions. Most studies are based on a psychological perspective. Several activities related to the intervention have been identified, but few details or characteristics are described. Social workers, nurses, doctors, and psychologists were most identified as healthcare staff involved in forgiveness facilitation. The outcomes related to the intervention are mental, physical, and relational well-being; quality of life, decision-making and communication; self-esteem and hope; depression, anger, and anxiety; and inner peace.
Forgiveness facilitation is critical in palliative care and is grounded in a multidisciplinary approach, but further evidence is needed to inform clinical implementation. These results open new perspectives for research and training on palliative healthcare staff.
本综述的目的是梳理在姑息治疗背景下实施和评估的宽恕促进干预措施的性质和范围。
精神信仰通常包含和解与宽恕，这对姑息治疗中的患者及其家人至关重要。宽恕促进作为一种多学科且非药物的干预措施，对于减轻痛苦而言可能是一种有价值的应对方式。
本综述纳入了包括18岁及以上姑息治疗患者且由姑息治疗团队提供协助的研究，姑息治疗团队包括所有医疗保健专业人员、牧师和志愿者。
本范围综述基于循证卫生保健国际协作网（JBI）方法。检索于2017年6月进行，并于2018年12月更新，使用了英文、西班牙文、德文、意大利文和葡萄牙文的国际数据库及灰色文献。
本综述共纳入23篇文章。结果表明，在不同的精神和宗教传统中，姑息治疗领域对宽恕促进的兴趣日益浓厚。大多数研究基于心理学视角。已确定了一些与该干预相关的活动，但对其细节或特征描述甚少。社会工作者、护士、医生和心理学家被确定为参与宽恕促进的主要医护人员。与该干预相关的结果包括心理、身体和人际关系的幸福感；生活质量、决策和沟通；自尊和希望；抑郁、愤怒和焦虑；以及内心平静。
宽恕促进在姑息治疗中至关重要，且基于多学科方法，但需要更多证据为临床实施提供参考。这些结果为姑息治疗医护人员的研究和培训开辟了新的视角。
