Guys and St Thomas' NHS Foundation Trust.
The Christie NHS Foundation Trust.
Br J Community Nurs. 2023 May 2;28(5):254-256. doi: 10.12968/bjcn.2023.28.5.254.
: Shepperd S, Gonçalves-Bradley DC, Straus SE, Wee B. Hospital at home: home-based end-of-life care. Cochrane Database of Systematic Reviews. 2021;Issue 3. 10.1002/14651858.CD009231.pub3 When a person has been diagnosed with a terminal illness and has less than 6 months to live, and curative treatments are no longer effective, end-of-life care or hospice care may be initiated. Studies suggest that approximately 7 million people a year are given this type of care, which strives to reduce distress and improve quality of life for patients and their families by providing comprehensive physical, psychosocial, and spiritual support. Surveys show that most individuals would prefer to receive this care at home when given the option. However, there are still some uncertainties regarding the effects of end-of-life care at home on a range of important patient outcomes. As a result, a Cochrane review was conducted/updated to study the effects of receiving end-of-life care at home, looking at these outcomes. The aim of this commentary is to critically appraise this Cochrane review and expand upon the findings of the review in context to practice.
谢泼德 S、冈卡尔维斯-布拉德利 DC、斯特劳斯 SE、魏 B. 医院就在家中：基于家庭的临终关怀。考科蓝系统评价数据库。2021 年；问题 3。10.1002/14651858.CD009231.pub3 当一个人被诊断患有绝症，且预期寿命不足 6 个月，且治愈性治疗不再有效时，可能会开始提供临终关怀或姑息治疗。研究表明，每年大约有 700 万人接受这种类型的治疗，这种治疗旨在通过提供全面的身体、心理社会和精神支持，减轻患者及其家属的痛苦，提高生活质量。调查显示，大多数人在有选择的情况下更愿意在家中接受这种护理。然而，对于在家中接受临终关怀对一系列重要患者结局的影响，仍存在一些不确定性。因此，进行了一项考科蓝综述/更新，以研究在家中接受临终关怀的效果，着眼于这些结局。本评论的目的是批判性地评价这项考科蓝综述，并在实践背景下扩展综述的发现。
