Ginggeaw Sangduan, LeBlanc Raeann
Elaine Marieb College of Nursing, University of Massachusetts Amherst, 651 North Pleasant Street, Amherst, MA 01003, USA.
Elaine Marieb College of Nursing, University of Massachusetts Amherst, Amherst, MA, USA.
Palliat Care Soc Pract. 2024 Mar 19;18:26323524241236964. doi: 10.1177/26323524241236964. eCollection 2024.
A home is a preferred place of death by most people. Nurses play a key role in supporting end-of-life home care, yet less is known about the factors that determine home as a place of death. This scoping review describes the percentage of actual places of death and determines social factors related to home as the place of death among noncancer patients with end-stage chronic health conditions. Inclusion criteria included (1) noncancer chronic illness conditions, (2) outcomes of place of death, and (3) factors that determine home as a place of death. Sources of evidence included PubMed, CINAHL, and Web of Science databases, which were searched in May 2022, and additional searches from May 2022 to November 2023.The JBI scoping review guide (2020) and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review extension were used. Twenty-eight studies were included in this analysis. The range of percentages is varied within the same place of death among the sample. Two major constructs that determine a home as a place of death were identified: preceding factors and social capital. The results suggest that the place of death among noncancer patients with end-stage chronic health conditions should be continued to be understood. Two constructs determined home as a place of death and are considered as a fundamental to increasing equal accessibility in the initiation of palliative care services to promote home death and meet end-of-life care goals.
对大多数人来说，家是首选的死亡地点。护士在支持临终家庭护理方面发挥着关键作用，但对于决定家作为死亡地点的因素却知之甚少。本综述描述了实际死亡地点的百分比，并确定了与家作为终末期慢性健康状况非癌症患者死亡地点相关的社会因素。纳入标准包括：（1）非癌症慢性疾病状况；（2）死亡地点的结果；（3）决定家作为死亡地点的因素。证据来源包括2022年5月检索的PubMed、CINAHL和科学网数据库，以及2022年5月至2023年11月的其他检索。使用了JBI综述指南（2020年）和系统评价与Meta分析扩展的首选报告项目。本分析纳入了28项研究。样本中同一死亡地点的百分比范围各不相同。确定家作为死亡地点的两个主要概念：前期因素和社会资本。结果表明，应继续了解终末期慢性健康状况非癌症患者的死亡地点。两个概念决定了家作为死亡地点，并被视为在启动姑息治疗服务时增加平等可及性以促进在家死亡和实现临终护理目标的基础。
