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患者的预先指示:缓和医疗团队的实施过程。

Advance directives of patients: process of implementation by palliative care teams.

机构信息

Universidade Federal do Rio Grande. Rio Grande, Rio Grande do Sul, Brazil.

Universidade Federal de Santa Maria. Santa Maria, Rio Grande do Sul, Brazil.

出版信息

Rev Bras Enferm. 2020 Dec 21;73(suppl 6):e20190567. doi: 10.1590/0034-7167-2019-0567. eCollection 2020.

DOI:10.1590/0034-7167-2019-0567
PMID:33338126
Abstract

OBJECTIVES

to investigate the process of implementing advance directives in palliative care teams in southern Brazil.

METHODS

an exploratory-descriptive study with a qualitative approach conducted with 51 professionals from seven palliative care teams from December 2018 to April 2019. Data were collected through semi-structured online interviews and submitted to discursive textual analysis.

RESULTS

the implementation process starts on approach of the advance directives with patients, so that their wishes and desires are the guiding axis for planning care and conduct.

FINAL CONSIDERATIONS

the palliative philosophy is important with regard to advance directives, due to the preparation of these professionals in the search for dignity, quality of life and respect for patient autonomy, in addition to reducing suffering and offering dignified death, based on the understanding of human finitude as a natural process that belongs to life.

摘要

目的

调查巴西南部姑息治疗团队中实施预先指示的过程。

方法

这是一项探索性描述性研究,采用定性方法,于 2018 年 12 月至 2019 年 4 月期间对来自 7 个姑息治疗团队的 51 名专业人员进行了研究。通过半结构化的在线访谈收集数据,并提交给话语文本分析。

结果

实施过程始于与患者一起探讨预先指示,以便将他们的意愿和期望作为规划护理和行为的指导轴心。

最终考虑

姑息治疗理念对于预先指示非常重要,因为这些专业人员在寻求尊严、生活质量和尊重患者自主权方面做好了准备,此外,他们还减轻了痛苦,提供了有尊严的死亡,这是基于对人类有限性的理解,将其视为自然过程,属于生命的一部分。

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