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“临终”:概念分析。

'End of life': a concept analysis.

机构信息

Senior Lecturer, Institute of Nursing Science, Medical University of Graz, Austria.

Associate Professor, Health Service Research, Maastricht University, The Netherlands.

出版信息

Int J Palliat Nurs. 2022 Jul 2;28(7):314-321. doi: 10.12968/ijpn.2022.28.7.314.

Abstract

BACKGROUND

The concept of end of life (EOL), as in the term end-of-life care, is used synonymously in both palliative and terminal care. Practitioners and researchers both require a clearer specification of the end-of-life concept to be able to provide appropriate care in this phase of life and to conduct robust research on a well-described theoretical basis.

AIMS

The aim of this study was to critically analyse the end-of-life concept and its associated terminology.

METHOD

A concept analysis was performed by applying Rodgers' evolutionary concept analysis method.

FINDINGS

Time remaining, clinical status/physical symptoms, psychosocial symptoms and dignity were identified as the main attributes of the concept. Transition into the end-of-life phase and its recognition were identified as antecedents. This study demonstrates that end-of-life care emerged following the application of the 'end-of-life concept' to clinical practice.

CONCLUSION

The early recognition of the end-of-life phase seems to be crucial to ensuring an individual has well-managed symptoms and a dignified death.

摘要

背景

生命终末期(EOL)的概念,如在终末期关怀一词中,在姑息治疗和临终关怀中是同义的。从业者和研究人员都需要更明确地规定生命终末期的概念,以便能够在生命的这个阶段提供适当的关怀,并在描述良好的理论基础上进行稳健的研究。

目的

本研究旨在批判性地分析生命终末期的概念及其相关术语。

方法

通过应用罗杰斯的进化概念分析方法进行概念分析。

结果

剩余时间、临床状况/身体症状、心理社会症状和尊严被确定为该概念的主要属性。进入生命终末期阶段及其识别被确定为前提。本研究表明,生命终末期关怀是在将“生命终末期概念”应用于临床实践之后出现的。

结论

早期识别生命终末期阶段似乎对于确保个体的症状得到良好控制和有尊严地死亡至关重要。

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