School of Nursing, The Hong Kong Polytechnic University, Hong Kong.
J Palliat Care. 2023 Apr;38(2):239-253. doi: 10.1177/08258597221102735. Epub 2022 May 22.
To scope the literature to ascertain the components of palliative care (PC) interventions for burn patients, models of integration, and outcomes. Arksey and O'Malley scoping review design with narrative synthesis was employed and reported following the PRISMA-ScR guidelines. Primary studies reporting PC interventions in the burn unit were considered for inclusion. CINAHL via EBSCO, PubMed, EMBASE via OVID, Web of Science, and gray literature sources were searched from inception to June 2021. Fifteen studies emerging from high-income settings were retained. Data were organized around three concepts: components of palliative/ end of life care in the burn unit; models of integration; and outcomes. The components of interventions based on the Robert Wood Johnson Foundation Critical Care End-of Life Group domains include decision-making, communication, symptom management and comfort care, spiritual support, and emotional and practical support for families. Consultative and integrative models were noted to be the strategies for integrating PC in the burn unit. The outcomes were varied with only few studies reporting healthcare staff related outcomes. PC may have the potential of improving end-of-life care in the burn unit albeit the limited studies and lack of standardized outcomes makes it difficult to draw stronger conclusions regarding what is likely to work best in the burn unit.
为了确定烧伤患者的姑息治疗（PC）干预措施的组成部分、整合模式和结果，我们对文献进行了综述。采用了 Arksey 和 O'Malley 的范围综述设计，并按照 PRISMA-ScR 指南进行了叙述性综合报告。纳入了报告烧伤病房中 PC 干预措施的原始研究。从建库到 2021 年 6 月，我们在 EBSCO 的 CINAHL、PubMed、OVID 的 EMBASE、Web of Science 和灰色文献来源中进行了搜索。保留了来自高收入环境的 15 项研究。数据围绕三个概念组织：烧伤病房中姑息/生命终末期护理的组成部分；整合模式；和结果。基于罗伯特·伍德·约翰逊基金会重症监护临终关怀小组领域的干预措施的组成部分包括决策、沟通、症状管理和舒适护理、精神支持以及家庭的情感和实际支持。注意到咨询和整合模式是将 PC 整合到烧伤病房的策略。结果各不相同，只有少数研究报告了与医护人员相关的结果。姑息治疗有可能改善烧伤病房的临终关怀，尽管研究有限且缺乏标准化的结果，这使得很难就烧伤病房中最可能有效的方法得出更强有力的结论。
