Sezgin Duygu, Geraghty Jemell, Graham Tanya, Blomberg Karin, Charnley Karen, Dobbs Sharon, McElvaney Aideen, Probst Sebastian, Beeckman Dimitri, Grocott Patricia, Gethin Georgina
School of Nursing and Midwifery, University of Galway, Galway, Ireland; Alliance for Research and Innovation in Wounds, University of Galway, Galway, Ireland.
Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, United Kingdom.
J Tissue Viability. 2023 Nov;32(4):627-634. doi: 10.1016/j.jtv.2023.07.002. Epub 2023 Jul 19.
Deciding whether to transition to wound palliation is challenging for health care professionals because there is no agreed definition or understanding of palliative wound care, including the goals, core elements and differences from general wound management.
To conduct a scoping review with qualitative synthesis to define palliative wound care in terms of its conceptual framework, goals, principles, components, and differences from general wound management, and provide a new definition of palliative wound care based on this scoping review.
Published literature that refers to the definitions, concept, goals and core elements of palliative wound care using any methodological approach, without any time limits, published in English.
The searches were conducted in CINAHL Complete via Ebsco, Medline via Ovid, Cochrane Library, Scopus, and Google Scholar.
A data extraction form was developed by the review team and used independently for data charting purposes. Braun and Clarke's six phases of thematic analysis guided the qualitative synthesis.
A total of 133 publications met the inclusion criteria. Three main themes were developed to define palliative wound care and understand its differences from general wound management: 1- Healing potential of wounds and patient vulnerability, 2- Understanding the impact on individuals and family to address needs, 3- Towards new goals and perspectives in approach to care.
Palliative wound care focuses on symptom management, comfort, and dignity, but does not always target the healing of the wound, which is the goal of general wound care. The needs of the individual and their family must be addressed by clinicians through the provision of care and support that takes into account the true meaning of living and dying with a palliative wound.
A review protocol was developed but not registered.
对于医疗保健专业人员而言，决定是否过渡到伤口姑息治疗具有挑战性，因为目前尚无关于姑息性伤口护理的公认定义或理解，包括其目标、核心要素以及与一般伤口管理的差异。
进行一项范围综述并进行定性综合分析，以便从概念框架、目标、原则、组成部分以及与一般伤口管理的差异方面界定姑息性伤口护理，并基于此范围综述提供姑息性伤口护理的新定义。
使用任何方法学途径、无时间限制且以英文发表的涉及姑息性伤口护理定义、概念、目标和核心要素的文献。
检索了通过EBSCO的CINAHL Complete、通过Ovid的Medline、Cochrane图书馆、Scopus和谷歌学术。
综述团队开发了一份数据提取表，并独立用于数据图表绘制目的。Braun和Clarke的六个主题分析阶段指导了定性综合分析。
共有133篇出版物符合纳入标准。形成了三个主要主题来界定姑息性伤口护理并理解其与一般伤口管理的差异：1.伤口的愈合潜力与患者脆弱性；2.理解对个人和家庭需求的影响；3.迈向护理方法的新目标和新视角。
姑息性伤口护理侧重于症状管理、舒适度和尊严，但并不总是以伤口愈合为目标，而伤口愈合是一般伤口护理的目标。临床医生必须通过提供考虑到带着姑息性伤口生活和死亡的真正意义的护理和支持来满足个体及其家庭的需求。
制定了一份综述方案，但未进行注册。
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