Department of Psychiatry and Medical Psychology - Division of Medical Psychology, Charles University, Third Faculty of Medicine, Praha, Czech Republic
Department of Gerontology and Palliative Medicine, Iv. Javakhishvili Tbilisi State University/Institute of Morphology, Tbilisi, Georgia.
BMJ Support Palliat Care. 2021 Dec;11(4):351-360. doi: 10.1136/bmjspcare-2020-002291. Epub 2020 Sep 21.
Despite a number of studies on effectiveness of palliative care, there is a lack of complex updated review of the impact of in-hospital palliative care consult service. The objective is to update information on the impact of palliative care consult service in inpatient hospital setting.
This study was a systematic literature review, following the standard protocols (Preferred Reporting Items for Systematic Reviews and Meta-Analyses, Joanna Briggs Institute tools) to ensure the transparent and robust review procedure. The effect of palliative care consult service was classified as being associated with improvement, no difference, deterioration or mixed results in specific outcomes. PubMed, Scopus, Academic Search Ultimate and SocINDEX were systematically searched up to February 2020. Studies were included if they focused on the impact of palliative care consult service caring for adult palliative care patients and their families in inpatient hospital setting.
After removing duplicates, 959 citations were screened of which 49 full-text articles were retained. A total of 28 different outcome variables were extracted. 18 of them showed positive effects within patient, family, staff and healthcare system domains. No difference was observed in patient survival and depression. Inconclusive results represented patient social support and staff satisfaction with care.
Palliative care consult service has a number of positive effects for patients, families, staff and healthcare system. More research is needed on factors such as patient spiritual well-being, social support, performance, family understanding of patient diagnosis or staff stress.
尽管有许多关于姑息治疗效果的研究，但缺乏对住院姑息治疗咨询服务影响的综合最新评价。本研究旨在更新有关住院环境下姑息治疗咨询服务影响的信息。
这是一项系统文献回顾，遵循标准方案（系统评价和荟萃分析的首选报告项目，乔安娜·布里格斯研究所工具），以确保透明和稳健的审查程序。姑息治疗咨询服务的效果被归类为与特定结果的改善、无差异、恶化或混合结果相关。系统检索了 PubMed、Scopus、Academic Search Ultimate 和 SocINDEX，截至 2020 年 2 月。如果研究重点是姑息治疗咨询服务对住院成人姑息治疗患者及其家属的影响，则纳入研究。
去除重复项后，筛选出 959 条引文，其中 49 篇全文文章被保留。共提取了 28 个不同的结局变量。其中 18 个在患者、家庭、医护人员和医疗保健系统领域显示出积极影响。患者生存和抑郁方面无差异。患者社会支持和医护人员对护理的满意度结果不确定。
姑息治疗咨询服务对患者、家庭、医护人员和医疗保健系统有许多积极影响。需要进一步研究患者的精神健康、社会支持、绩效、家庭对患者诊断的理解或员工压力等因素。
