Salvador Zaragozá Andrea, Soto-Rubio Ana, Lacomba-Trejo Laura, Valero-Moreno Selene, Pérez-Marín Marian
Departament of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Valencia, Av. Blasco Ibánez, 21, 46010 Valencia, Spain.
Curr Psychol. 2023;42(8):6732-6751. doi: 10.1007/s12144-021-01994-z. Epub 2021 Jun 25.
Altought compassionate care is an important factor in health care, remains an unmet need in patients. The studies have been carried out in Anglo-Saxon countries with cultural environments and health systems that are very different from Spanish-speaking contexts. The aim of this study to understand the conceptual, evaluation and clinical application nuances of compassion and compassionate care in Spanish-speaking health care settings, through a systematic review. A search of the scientific literature was carried out following the PRISMA guidelines in ProQuest Central, PubMed and Web Of Science, resulting in 295 studies, of which 27 were selected, based on the following inclusion criteria: the article studied or analyzed the construct of compassion in healthcare setting and the participants were Spanish speakers or the authors spoke of the construct in Spanish. Two blinded evaluators performed the study selection process using the Covidence tool. The agreement between evaluators was in all cases satisfactory. Different definitions of the construct have been identified, that they generally share: the recognition of suffering and the attempt to alleviate it. There are few studies that focus solely on the analysis of compassion, since other concepts appear that are associated with it, such as empathy and self-compassion. Further research is needed to obtain a better and greater understanding of compassionate care adapted to the perceptions of patients and health professionals in different socio-cultural contexts. In this way, instruments that measure compassionate care can be better developed and adjusted, and interventions aimed at promoting compassion can be properly assessed.
尽管关怀护理是医疗保健中的一个重要因素，但患者的这一需求仍未得到满足。这些研究是在盎格鲁-撒克逊国家进行的，其文化环境和卫生系统与讲西班牙语的环境有很大不同。本研究的目的是通过系统评价，了解讲西班牙语的医疗保健环境中同情和关怀护理的概念、评估及临床应用细微差别。按照PRISMA指南在ProQuest Central、PubMed和Web of Science中检索科学文献，共检索到295项研究，基于以下纳入标准从中筛选出27项：文章研究或分析了医疗保健环境中的同情概念，且参与者为讲西班牙语者或作者用西班牙语论述了该概念。两名盲法评估者使用Covidence工具进行研究筛选过程。评估者之间的一致性在所有情况下均令人满意。已确定了该概念的不同定义，它们通常有共同之处：对痛苦的认知以及减轻痛苦的尝试。很少有研究仅专注于同情的分析，因为还出现了其他与之相关的概念，如同情心和自我同情。需要进一步开展研究，以便更好地、更深入地理解适应不同社会文化背景下患者和卫生专业人员认知的关怀护理。这样，就能更好地开发和调整衡量关怀护理的工具，并正确评估旨在促进同情的干预措施。
