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儿科临终关怀与姑息治疗的进化概念分析

An Evolutionary Concept Analysis of Pediatric Hospice and Palliative Care.

作者信息

Lee Jung Hwa, Lee Soon Young, Cha Kyung Mi

机构信息

Department of Nursing Science, Choonhae College of Health Sciences, Ulsan, Korea.

Dong-A University Hospital, Busan, Korea.

出版信息

J Hosp Palliat Care. 2024 Jun 1;27(2):51-63. doi: 10.14475/jhpc.2024.27.2.51.

Abstract

PURPOSE

This study aimed to clarify the concept of pediatric hospice and palliative care through conceptual analysis. It also sought to identify the differences between related concepts such as pediatric death care and pediatric spiritual care, in order to provide foundational data for the development of nursing theory and knowledge.

METHODS

A conceptual analysis of pediatric hospice and palliative care was conducted using Rodgers' evolutionary method. Out of 5,013 papers identified, 28 were selected for detailed reading and analysis.

RESULTS

Pediatric hospice and palliative care encompasses physical, psychological, social, mental, spiritual, and family care for children with acute and chronic diseases with uncertain prognoses ahead of death, as well as their families. Effective pediatric hospice and palliative care will require multidisciplinary team nursing, effective communication, and supportive policies.

CONCLUSION

The findings of this study suggest that providing pediatric hospice and palliative care will lead to improvements in pain relief for children and families, the efficiency of responses to death in children, and the quality of life for children and families. The significance of this study is that it clearly clarifies the concept by analyzing pediatric hospice and palliative care using an evolutionary method.

摘要

目的

本研究旨在通过概念分析阐明儿科临终关怀与姑息治疗的概念。它还试图找出儿科死亡护理和儿科精神护理等相关概念之间的差异,以便为护理理论和知识的发展提供基础数据。

方法

采用罗杰斯的进化方法对儿科临终关怀与姑息治疗进行概念分析。在识别出的5013篇论文中,选择了28篇进行详细阅读和分析。

结果

儿科临终关怀与姑息治疗包括为患有急性和慢性疾病、预后不确定且临近死亡的儿童及其家庭提供身体、心理、社会、精神和家庭护理。有效的儿科临终关怀与姑息治疗需要多学科团队护理、有效的沟通和支持性政策。

结论

本研究结果表明,提供儿科临终关怀与姑息治疗将改善儿童及其家庭的疼痛缓解情况、儿童对死亡的应对效率以及儿童及其家庭的生活质量。本研究的意义在于,通过进化方法分析儿科临终关怀与姑息治疗,清晰地阐明了这一概念。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66d2/11163181/eaafc98651c3/jhpc-27-2-51-f1.jpg

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