Shhadat Ibrahim Al, Wobst Lisa-Maria, Meyer Gabriele, Makhmutov Rustem, Fleischer Steffen
Institute of Health and Nursing Science, Medical Faculty of Martin Luther University Halle-Wittenberg, University Medicine Halle, Halle (Saale), Germany.
Palliat Support Care. 2025 Mar 31;23:e84. doi: 10.1017/S1478951525000148.
The use of palliative care (PC) services from people of Islamic faith is seen limited. There are a fundamental lack of PC services appropriate to the target group and a lack of knowledge and acceptance. The transition from curative to PC is often perceived as problematic. Factors influencing PC use and end-of-life (EOL) decisions and preferences among people of Islamic faith are largely unclear.
A scoping review was carried out using the methodology of the Joanna Briggs Institute. Studies of any design, published in English, German, or Arabic, and published by the end of August 2022, were eligible for inclusion. The systematic literature search was conducted in MEDLINE via PubMed, CINAHL, Cochrane Library, and Web of Science. Study statements were analyzed with a clear distinction between PC as EOL care and other EOL decisions, such as euthanasia, withdrawal, or withholding of one or more life-sustaining treatments or medications.
Sixty studies published between 1998 and 2022 were included. Only a few studies made statements about EOL care. The majority of studies focused on forms of euthanasia and indicated negative attitudes toward euthanasia, assisted suicide, and some other EOL decisions. Reasons for rejection include theological arguments, ethical and moral considerations, and others. Reasons for acceptance were principles of good death and dying, medical justifications, and others. The following barriers to the use of PC were identified laws and policies, lack of necessary resources, cultural norms and values, structure of the health-care system, communication and interaction between patients, relatives, and health-care staff, and others.
This review identifies the preferences for and difficulties in making EOL decisions and identifies barriers to specific PC for the Muslim population. Findings suggest how these barriers might be overcome.
人们发现，伊斯兰信仰者对姑息治疗（PC）服务的使用有限。根本缺乏适合目标群体的PC服务，且缺乏相关知识和接受度。从治愈性治疗向PC的转变通常被认为存在问题。很大程度上尚不清楚影响伊斯兰信仰者使用PC以及临终（EOL）决策和偏好的因素。
采用乔安娜·布里格斯研究所的方法进行了一项范围综述。纳入2022年8月底前以英文、德文或阿拉伯文发表的任何设计的研究。通过PubMed、CINAHL、Cochrane图书馆和科学网在MEDLINE中进行系统文献检索。对研究陈述进行分析，明确区分作为EOL护理的PC与其他EOL决策，如安乐死、停止或 withholding一种或多种维持生命的治疗或药物。
纳入了1998年至2022年间发表的60项研究。只有少数研究对EOL护理发表了陈述。大多数研究关注安乐死形式，并表明对安乐死、协助自杀和其他一些EOL决策持否定态度。拒绝的原因包括神学论点、伦理和道德考量等。接受的原因是善终和濒死的原则、医学理由等。确定了以下使用PC的障碍：法律和政策、缺乏必要资源、文化规范和价值观、医疗保健系统结构、患者、亲属和医护人员之间的沟通与互动等。
本综述确定了EOL决策中的偏好和困难，并确定了针对穆斯林人群的特定PC障碍。研究结果表明了如何克服这些障碍。
