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终末期慢性阻塞性肺疾病患者的关怀:范围综述方案。

End-of-life care for people with chronic obstructive pulmonary disease: a scoping review protocol.

机构信息

Doctoral Program, Graduate School of Nursing Science, St. Luke's International University, 10-1, Akashi-cho, Chuo-ku, Tokyo, 1040044, Japan.

Department of Palliative Care, Showa University Northern Yokohama Hospital, Yokohama, Kanagawa, Japan.

出版信息

Syst Rev. 2024 Nov 28;13(1):294. doi: 10.1186/s13643-024-02712-z.

DOI:10.1186/s13643-024-02712-z
PMID:39609896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11603901/
Abstract

BACKGROUND

Chronic obstructive pulmonary disease (COPD) is a progressive inflammatory disease that has a typical illness trajectory. Awareness of unique disease courses as well as providing end-of-life care (EOLC) for COPD patients is important as most patients experience varied degrees of suffering toward the end-of-life. The purpose of this scoping review is to map out key concepts, main sources, and types of evidence available in the area of research on EOLC with multiple interventions for people with COPD.

METHODS

This scoping review will be conducted following the latest Joanna Briggs Institute (JBI) guidelines. In addition, this review process will adhere to the preferred reporting items for systematic reviews and meta-analysis extension for scoping reviews (PRISMA-ScR). The initial simple search concepts will be set out as "chronic obstructive pulmonary disease" and "end-of-life care". Based on the eligibility criteria, Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, CINAHL Ultimate, Embase, and Google Scholar databases will be searched, and all quantitative and qualitative studies of the after-year publication of each electronic database will be included. This process of literature selection will be carried out independently by each researcher. The results will be summarised in a narrative synthesis approach and the gaps and potential biases of the evidence identified by comparing the adopted articles for EOLC with multiple interventions for people with COPD.

DISCUSSION

This scoping review will outline in detail the evidence and the gaps from primary studies that have been gathered from the qualitative and quantitative literature based on all eligibility criteria. Therefore, the results of this review will contribute to a new field of systematic reviews. Furthermore, providing an outline of an EOLC for COPD in this study may improve the practice of healthcare professionals in this area. Ethical approval and consent are not required as no human participants were involved in this study.

SYSTEMATIC REVIEW REGISTRATION

This research has been registered in the Open Science Framework (OSF) ( https://osf.io/upd4a ).

摘要

背景

慢性阻塞性肺疾病(COPD)是一种具有典型疾病进程的进行性炎症性疾病。了解 COPD 患者独特的疾病进程以及提供临终关怀(EOLC)非常重要,因为大多数患者在生命末期都会经历不同程度的痛苦。本综述的目的是绘制 EOLC 与 COPD 患者多种干预措施相关研究领域的关键概念、主要来源和证据类型图。

方法

本综述将遵循最新的乔安娜·布里格斯研究所(JBI)指南进行。此外,本综述过程将遵循系统评价和元分析扩展的首选报告项目(PRISMA-ScR)。最初的简单搜索概念将设定为“慢性阻塞性肺疾病”和“临终关怀”。根据入选标准,将检索 Cochrane 中央对照试验注册库(CENTRAL)、PubMed、CINAHL 终极版、Embase 和 Google Scholar 数据库,并纳入每个电子数据库发表后一年的所有定量和定性研究。文献选择的过程将由每位研究人员独立进行。研究结果将以叙述性综合的方式进行总结,并通过比较 COPD 患者多种干预措施的 EOLC 采用文章来确定证据的差距和潜在偏倚。

讨论

本综述将详细概述从定性和定量文献中收集的基于所有入选标准的 EOLC 证据和差距。因此,本综述的结果将有助于建立一个新的系统综述领域。此外,在本研究中概述 COPD 的 EOLC 可能会改善该领域医疗保健专业人员的实践。由于本研究不涉及人类参与者,因此无需进行伦理审批和同意。

系统评价注册

本研究已在开放科学框架(OSF)中注册(https://osf.io/upd4a)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9857/11603901/92a126472721/13643_2024_2712_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9857/11603901/92a126472721/13643_2024_2712_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9857/11603901/92a126472721/13643_2024_2712_Fig1_HTML.jpg

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