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居家个性化关怀模式——患者、亲属及护士对专科姑息治疗的体验:一项综合文献综述

A Personalised Caring Approach at Home-Patients, Relatives and Nurses' Experiences of Specialised Palliative Care: An Integrative Literature Review.

作者信息

Osberg Ferm Liselott, Karlsson Margareta, Kasén Anne, Pennbrant Sandra

机构信息

Department of Health Sciences, University West, Trollhättan, Sweden.

Palliative Unit, NU-Healthcare, Trollhättan, Sweden.

出版信息

Nurs Open. 2025 Feb;12(2):e70155. doi: 10.1002/nop2.70155.

DOI:10.1002/nop2.70155
PMID:39887669
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11782158/
Abstract

AIM

This study aimed to describe patients, relatives and nurses' experiences of specialised palliative home care.

DESIGN

Integrated literature review.

METHODS

The review was performed using the PRISMA 2020 Statement. The searches were conducted in Cinahl, PubMed and Scopus.

RESULTS

Eighteen articles were selected. An overall theme 'co-creation for personalised home care' emerged, based on three categories: 'Safe and secure care', 'Care based on wishes and needs' and 'Relatives' caring role'. Patients, relatives and nurses' experiences showed that co-creation was an important strategy for achieving goals and enabling patients to remain at home despite illness and limited life expectancy.

CONCLUSION

Co-creation becomes a prerequisite for personalised home care and enabled through collaboration and learning between patients, relatives and nurses.

PATIENT OR PUBLIC CONTRIBUTION

This article is an overview of how patients, relatives and nurses experience care at home, supported by a specialised palliative care unit, and the result showed that co-creation enables personalised care.

摘要

目的

本研究旨在描述患者、亲属及护士在专科姑息家庭护理方面的体验。

设计

整合文献综述。

方法

本综述采用PRISMA 2020声明进行。检索在护理学与健康领域数据库(Cinahl)、医学期刊数据库(PubMed)和文摘与引文数据库(Scopus)中进行。

结果

筛选出18篇文章。基于“安全可靠的护理”“基于愿望和需求的护理”“亲属的护理角色”这三个类别,出现了一个总体主题“共同创造个性化家庭护理”。患者、亲属及护士的体验表明,共同创造是实现目标以及使患者尽管患病且预期寿命有限仍能居家的重要策略。

结论

共同创造成为个性化家庭护理的先决条件,并通过患者、亲属和护士之间的协作与学习得以实现。

患者或公众贡献

本文概述了在专科姑息治疗单位的支持下,患者、亲属及护士如何体验居家护理,结果表明共同创造能够实现个性化护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e149/11782158/0c6d43162ffa/NOP2-12-e70155-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e149/11782158/075942fc1533/NOP2-12-e70155-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e149/11782158/0c6d43162ffa/NOP2-12-e70155-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e149/11782158/075942fc1533/NOP2-12-e70155-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e149/11782158/0c6d43162ffa/NOP2-12-e70155-g001.jpg

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本文引用的文献

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What Aspects of Quality of Life are Important from Palliative Care Patients' Perspectives? A Framework Analysis to Inform Preference-Based Measures for Palliative and End-of-Life Settings.从姑息治疗患者的角度来看,哪些方面的生活质量很重要?一个框架分析,为姑息治疗和生命终末期环境下的偏好测量提供信息。
Patient. 2024 Jan;17(1):39-52. doi: 10.1007/s40271-023-00651-w. Epub 2023 Nov 17.
2
Preferences for home care to enable home death among adult patients with cancer in late palliative phase - a grounded theory study.晚期姑息治疗阶段癌症成年患者对居家护理以实现居家死亡的偏好——一项扎根理论研究。
BMC Palliat Care. 2022 Apr 11;21(1):49. doi: 10.1186/s12904-022-00939-y.
3
Revised recommendations on standards and norms for palliative care in Europe from the European Association for Palliative Care (EAPC): A Delphi study.
欧洲姑息治疗协会(EAPC)修订的欧洲姑息治疗标准和规范建议:一项德尔菲研究。
Palliat Med. 2022 Apr;36(4):680-697. doi: 10.1177/02692163221074547. Epub 2022 Feb 3.
4
Home care nurses more positive about the palliative care that is provided and their own competence than hospital nurses: a nationwide survey.居家护士比医院护士更能积极看待所提供的姑息治疗和自身能力:一项全国性调查。
BMC Palliat Care. 2021 Oct 28;20(1):170. doi: 10.1186/s12904-021-00866-4.
5
Katie Eriksson's caring theories. Part 1. The caritative caring theory, the multidimensional health theory and the theory of human suffering.凯蒂·埃里克森的关怀理论。第 1 部分。关怀性关怀理论、多维健康理论和人类苦难理论。
Scand J Caring Sci. 2022 Sep;36(3):782-790. doi: 10.1111/scs.13036. Epub 2021 Oct 5.
6
The PRISMA 2020 statement: An updated guideline for reporting systematic reviews.《PRISMA 2020声明:报告系统评价的更新指南》
J Clin Epidemiol. 2021 Jun;134:178-189. doi: 10.1016/j.jclinepi.2021.03.001. Epub 2021 Mar 29.
7
Definitions of Palliative Care Terms: A Consensus-Oriented Decision-Making Process.姑息治疗术语定义:一种共识导向的决策过程。
J Palliat Med. 2021 Sep;24(9):1342-1350. doi: 10.1089/jpm.2020.0679. Epub 2021 Feb 18.
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Dignity and loss of dignity: Experiences of older women living with incurable cancer at home.尊严与尊严的丧失:身患绝症的老年女性在家中的生活体验。
Health Care Women Int. 2020 Sep;41(9):1036-1058. doi: 10.1080/07399332.2020.1797035. Epub 2020 Oct 21.
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Cancer Nurs. 2021;44(3):214-222. doi: 10.1097/NCC.0000000000000863.
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Trends analysis of specialized palliative care services in 51 countries of the WHO European region in the last 14 years.过去 14 年里,世卫组织欧洲区域 51 个国家的专门姑息治疗服务趋势分析。
Palliat Med. 2020 Sep;34(8):1044-1056. doi: 10.1177/0269216320931341. Epub 2020 Jun 10.