Nursing Department, School of Medicine and Health Sciences, Universitat Internacional de Catalunya, Sant Cugat del Vallés, Barcelona, Spain.
Department of Basic Sciences, School of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain.
Palliat Med. 2021 Apr;35(4):651-669. doi: 10.1177/0269216321996985. Epub 2021 Mar 1.
The comprehensive assessment of needs in palliative care identifies where patients most want attention to guide clinical decisions that tailor care provision from their first encounters.
To define how and what needs are identified by the comprehensive assessment of needs in the original peer-reviewed articles in the field of palliative care.
An integrative systematic review as outlined by Whittemore and Knafl. Quality appraisal performed using the Mixed Methods Appraisal Tool.
PubMed, CINAHL, PsycINFO, Web of Science databases searched through May 2019 and updated in July 2020.
Forty-nine articles met inclusion criteria for original articles in English or Spanish reporting comprehensive assessment of needs of adult patients receiving palliative care. The majority (41/49) of studies were moderate to high quality. Two themes were identified: (1) How a comprehensive assessment of needs should be carried out in palliative care, which reflected a preference to develop structured tools for assessment; (2) What needs of patients should be assessed in the comprehensive assessment of needs in palliative care, which conveyed a trend to assess beyond core domains - physical, psychological, social, spiritual - with information and practical most prevalent, but with substantial variation in specifying and classifying needs into domains.
The assessment of needs in palliative care is comprehensive but lacks consensus on the needs and domains that should be assessed by the palliative care team. Future studies should better define what needs can be standardized into the assessment to improve process of care and patient satisfaction.
在姑息治疗中进行全面需求评估可以确定患者最希望关注的地方，从而指导临床决策，根据他们的首次就诊情况量身定制护理方案。
定义姑息治疗领域的原始同行评审文章中，全面需求评估是如何以及确定哪些需求的。
按照 Whittemore 和 Knafl 的方法进行综合系统评价。使用混合方法评估工具进行质量评估。
通过 2019 年 5 月和 2020 年 7 月更新的 PubMed、CINAHL、PsycINFO 和 Web of Science 数据库进行搜索。
49 篇符合纳入标准的英文或西班牙文原始文章报告了接受姑息治疗的成年患者的全面需求评估。大多数（41/49）研究的质量为中等到高度。确定了两个主题：（1）姑息治疗中应如何进行全面需求评估，这反映了开发评估结构化工具的偏好；（2）姑息治疗全面需求评估中应评估患者的哪些需求，这表明评估超出了核心领域（身体、心理、社会、精神）的趋势，信息和实用性最普遍，但在将需求具体分类到各个领域方面存在很大差异。
姑息治疗中的需求评估是全面的，但姑息治疗团队应评估哪些需求和领域缺乏共识。未来的研究应更好地定义哪些需求可以标准化到评估中，以改善护理过程和患者满意度。
