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居住式老年护理环境中生活和死亡者的家庭中的悲伤、失落和丧亲问题:系统评价。

The matter of grief, loss and bereavement in families of those living and dying in residential aged care setting: A systematic review.

机构信息

Research Centre for Palliative Care, Death, and Dying, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.

Faculty of Medicine and Health, University Centre for Rural Health, The University of Sydney, Sydney, Australia.

出版信息

Arch Gerontol Geriatr. 2024 Sep;124:105473. doi: 10.1016/j.archger.2024.105473. Epub 2024 May 6.

DOI:10.1016/j.archger.2024.105473
PMID:38728822
Abstract

The grief, loss and bereavement needs of the families of those living and dying in residential aged care setting is not very well understood. This systematic review examines grief, loss, and bereavement experience of, and interventions relating to, family caregivers of those entering, living and dying in residential aged care. Out of 2023 papers that were identified, 35 met the inclusion criteria which included (n=28) qualitative and (n=7) quantitative intervention studies. The qualitative findings indicated quality of care provided to the resident at the end of their life, and after death care influenced family caregivers' grief reactions. The intervention studies revealed that educational interventions have the potential to lead to some benefits in the context of grief loss and bereavement outcomes. Recognizing the emotional experiences and support needs of families and carers may enhance the understanding of the ageing, caring, dying, grieving pathway for older people and their families.

摘要

在养老院中生活和去世的人群的家属的悲痛、失落和丧亲需求并没有得到很好的理解。本系统评价研究了进入养老院、在养老院生活和去世的人群的家属的悲痛、失落和丧亲的体验,以及与这些家属相关的干预措施。在确定的 2023 篇论文中,有 35 篇符合纳入标准,其中包括(n=28)定性研究和(n=7)定量干预研究。定性研究结果表明,临终和死后对居民的护理质量影响了家属的悲痛反应。干预研究表明,教育干预有可能在悲痛、失落和丧亲结果方面带来一些益处。认识到家庭和照顾者的情感体验和支持需求,可以增进对老年人及其家庭的衰老、照顾、死亡和悲伤途径的理解。

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