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最后急救课程作为成人和儿童公共姑息治疗教育的措施——叙述性综述。

Last Aid Courses as measure for public palliative care education for adults and children-a narrative review.

机构信息

Medical Research Unit, Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark; Palliative Care Team, Medical Department Sønderborg/Tønder, South Jutland Hospital, Sønderborg, Denmark; Last Aid International, Schleswig, Germany.

Medical Research Unit, Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark.

出版信息

Ann Palliat Med. 2021 Jul;10(7):8242-8253. doi: 10.21037/apm-21-762.

Abstract

OBJECTIVE

To provide a narrative overview of the current knowledge on Last Aid Courses (LAC) and experiences from the implementation process in different countries.

BACKGROUND

Major challenges for public health palliative care include supporting all people who wish to die at home and educating the public about death, dying and palliative care. LAC commenced in 2015 in order to educate and empower citizens to participate in end-of-life care and to improve the public debate about death and dying. The International Last Aid project and the International Last Aid working group were established to provide and evaluate public palliative care education (PPCE) using LAC.

METHODS

A literature search in PubMed/Medline was performed and a narrative overview of the existing literature on LAC and PPCE is provided. In addition, experiences from the implementation process are presented.

CONCLUSIONS

An International Last Aid working group was established with representatives from different countries and national organisations. This group revises the curriculum and contents of LAC in regular intervals with the latest revision in October 2020. Scientific evaluation of LAC is coordinated by the international Last Aid Research Group Europe (LARGE). Work on LAC has commenced in 18 countries. The overall results show that LAC are feasible and very well accepted in many different countries and cultures. Adults, children, and other groups, such as hospital employees and police officers, have participated in LAC. LAC for citizens is also possible in an online course format that was established and tested during the COVID-19 pandemic. Scientific work on the effects of LAC and cultural issues connected to LAC are ongoing in a number of countries. LAC are feasible and well accepted by citizens in different countries. The courses can contribute to a public debate on death, dying and palliative care and may contribute to empowering citizens in providing end-of-life care.

摘要

目的

对当前关于临终辅助课程(LAC)的知识和不同国家实施经验进行叙述性综述。

背景

公共卫生姑息治疗的主要挑战包括支持所有希望在家中去世的人,并对公众进行关于死亡、濒死和姑息治疗的教育。LAC 于 2015 年启动,旨在教育和赋权公民参与临终关怀,并改善关于死亡和濒死的公众讨论。国际临终辅助项目和国际临终辅助工作组成立,旨在使用 LAC 提供和评估公共姑息治疗教育(PPCE)。

方法

在 PubMed/Medline 中进行文献检索,并对 LAC 和 PPCE 的现有文献进行叙述性综述。此外,还介绍了实施过程中的经验。

结论

成立了一个国际临终辅助工作组,成员来自不同国家和国家组织。该小组定期修订课程和 LAC 的内容,最新修订版于 2020 年 10 月发布。国际临终辅助研究组欧洲(LARGE)协调对 LAC 的科学评估。LAC 已在 18 个国家开展。总体结果表明,LAC 在许多不同的国家和文化中是可行的,且非常受欢迎。成年人、儿童和其他群体,如医院员工和警察,都参加了 LAC。在 COVID-19 大流行期间,还建立并测试了面向公民的在线课程形式的 LAC。一些国家正在进行关于 LAC 效果和与 LAC 相关的文化问题的科学工作。LAC 在不同国家的公民中是可行且受欢迎的。这些课程有助于关于死亡、濒死和姑息治疗的公众讨论,并可能有助于赋权公民提供临终关怀。

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