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接受姑息治疗的老年人的基本人类需求:一项范围综述

Basic Human Needs in the Elderly Receiving Palliative Care: A Scoping Review.

作者信息

Mota Thaciane Alves, Alves Manuela Bastos, Dantas Ailton de Oliveira, de Moraes Erica Brandão, de Sousa Anderson Reis, da Silva Rudval Souza

机构信息

Postgraduate Programme in Nursing and Health at the School of Nursing, Federal University of Bahia, Salvador, Bahia, Brazil.

Nursing Collegiate, Bahia State University, Senhor do Bonfim, Bahia, Brazil.

出版信息

J Hosp Palliat Care. 2022 Dec 1;25(4):178-192. doi: 10.14475/jhpc.2022.25.4.178.

DOI:10.14475/jhpc.2022.25.4.178
PMID:37674669
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10179993/
Abstract

PURPOSE

This scoping review identified scientific evidence on basic human needs (BHNs) in the elderly receiving palliative care.

METHODS

Systematic searches were conducted using six electronic databases (PubMed, CINAHL, Scopus, Lilacs, IBECS, and Web of Science). The initial search resulted in 1,227 articles, of which 104 were identified as potentially relevant. Fifty-three articles that met the inclusion criteria were identified and included in the final analysis.

RESULTS

Using the three hierarchical dimensions of the BHN model, 17 needs were organised, with five in the psychobiological dimension, 10 in the psychosocial dimension, and two in the psychospiritual dimension. These needs reflect the importance of care with dignity and relief from suffering for the elderly in palliative care.

CONCLUSION

Recognising impaired BHNs in elderly people receiving palliative care will contribute to better care plans for the elderly, considering the multiple bio-psycho-social-spiritual dimensions of BHNs. This review points to a predominance of psychosocial needs.

摘要

目的

本范围综述确定了关于接受姑息治疗的老年人基本人类需求(BHNs)的科学证据。

方法

使用六个电子数据库(PubMed、CINAHL、Scopus、Lilacs、IBECS和Web of Science)进行系统检索。初步检索得到1227篇文章,其中104篇被确定为可能相关。确定了53篇符合纳入标准的文章并纳入最终分析。

结果

利用BHN模型的三个层次维度,整理出17项需求,其中心理生物学维度有5项,心理社会维度有10项,心理精神维度有2项。这些需求反映了在姑息治疗中为老年人提供有尊严的护理和减轻痛苦的重要性。

结论

认识到接受姑息治疗的老年人的BHNs受损,将有助于为老年人制定更好的护理计划,同时考虑到BHNs的多重生物-心理-社会-精神维度。本综述指出心理社会需求占主导地位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1984/10179993/f848b4c04fff/jhpc-25-4-178-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1984/10179993/9435fd0456f5/jhpc-25-4-178-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1984/10179993/f848b4c04fff/jhpc-25-4-178-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1984/10179993/9435fd0456f5/jhpc-25-4-178-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1984/10179993/f848b4c04fff/jhpc-25-4-178-f2.jpg

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本文引用的文献

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J Hosp Palliat Care. 2022 Mar 1;25(1):12-24. doi: 10.14475/jhpc.2022.25.1.12.
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Redefining Palliative Care-A New Consensus-Based Definition.重新定义姑息治疗——基于共识的新定义
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Assessing the palliative care needs and service use of diverse older adults in an urban medically-underserved community.
评估城市医疗服务欠缺社区中不同老年人群的姑息治疗需求及服务使用情况。
Ann Palliat Med. 2019 Nov;8(5):769-774. doi: 10.21037/apm.2019.11.22.
4
Understanding the care and support needs of older people: a scoping review and categorisation using the WHO international classification of functioning, disability and health framework (ICF).了解老年人的护理和支持需求:使用世界卫生组织国际功能、残疾和健康分类框架 (ICF) 进行的范围综述和分类。
BMC Geriatr. 2019 Jul 22;19(1):195. doi: 10.1186/s12877-019-1189-9.
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