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重症监护病房成年患者的精神护理干预措施:一项范围综述方案

Spiritual Care Interventions for Adult Patients in Intensive Care Units: A Scoping Review Protocol.

作者信息

Gomes Aramid, Rosinhas Ana, Silva Rosa, Riklikiene Olga, Alves Elisabete, Sampaio Francisco

机构信息

Nursing Department, University of Évora, Évora, Portugal.

Comprehensive Health Research Centre (CHRC), University of Évora, Évora, Portugal.

出版信息

J Relig Health. 2024 Dec 23. doi: 10.1007/s10943-024-02223-0.

Abstract

Caring for patients in intensive care units (ICUs) requires healthcare workers to recognize the importance of a spiritual care approach in these settings. Moving toward a holistic and patient-centered care model that incorporates spiritual care is essential for enhancing patients' healing process. The disease-centered approach of ICU and the perceived deficit of spiritual care highlight the need to add knowledge on integrating spiritual care interventions into daily ICU practices. The aim of this scoping review will be to develop a comprehensive overview of the characteristics of spiritual care interventions for adult patients in ICU according to JBI methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. The inclusion criteria will be informed by the types of participants, concept and context, and types of evidence sources. Quantitative, qualitative and mixed methods studies, editorials, opinion papers and gray literature will be included. Databases such as PubMed (National Library of Medicine), CINAHL, Academic Search Complete, Psychology and Behavioral Sciences Collection, APA PsycINFO, Cochrane Central Register of Controlled Trials (via EBSCOhost), Scopus and Web of Science Core Collection will be searched. No date limit will be set. Titles and abstracts that meet the inclusion criteria, full texts of eligible studies and reference lists of all selected sources will be screened by 2 independent reviewers. Data will be extracted using customized tools, presented in diagrammatic or tabular format and summarized in a final narrative synthesis report. This research represents the first effort to develop a comprehensive overview of the characteristics of spiritual care interventions exclusively targeting adult patients in ICU settings. The findings will offer a thorough review of these interventions, including their main attributes, providers, resources, associated outcomes and assessment tools. Consequently, this knowledge can enhance the spiritual dimension of patient-centered care in the ICU, thereby promoting a shift from the traditional biomedical model to a more holistic perspective and establishing a new standard in critical care.

摘要

在重症监护病房(ICU)护理患者要求医护人员认识到在这些环境中采用精神关怀方法的重要性。朝着纳入精神关怀的整体且以患者为中心的护理模式转变对于促进患者的康复过程至关重要。ICU以疾病为中心的方法以及精神关怀方面明显的不足凸显了将精神关怀干预措施融入ICU日常实践的知识需求。本范围综述的目的是根据JBI方法以及系统评价和元分析扩展的范围综述首选报告项目指南,全面概述针对ICU成年患者的精神关怀干预措施的特征。纳入标准将依据参与者类型、概念和背景以及证据来源类型来确定。将纳入定量、定性和混合方法研究、社论、观点论文和灰色文献。将检索诸如PubMed(国立医学图书馆)、CINAHL、学术搜索完整版、心理学与行为科学文集、美国心理学会心理学文摘数据库、Cochrane对照试验中心注册库(通过EBSCOhost)、Scopus和科学引文索引核心合集等数据库。不设日期限制。符合纳入标准的标题和摘要、合格研究的全文以及所有选定来源的参考文献列表将由2名独立评审员进行筛选。将使用定制工具提取数据,以图表或表格形式呈现,并在最终的叙述性综合报告中进行总结。这项研究是首次专门针对ICU成年患者的精神关怀干预措施特征进行全面概述的努力。研究结果将对这些干预措施进行全面综述,包括其主要属性、提供者、资源、相关结果和评估工具。因此,这些知识可以增强ICU以患者为中心护理的精神层面,从而推动从传统生物医学模式向更全面视角的转变,并在重症监护中确立新的标准。

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