Jonathan Bayuo, Hammoda Abu-Odah, Adwoa Owusuaa Koduah
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引用次数: 0
Abstract
Objective: To scope the literature to ascertain the components of palliative care (PC) interventions for burn patients, models of integration, and outcomes. Methods: Arksey and O'Malley scoping review design with narrative synthesis was employed and reported following the PRISMA-ScR guidelines. Primary studies reporting PC interventions in the burn unit were considered for inclusion. CINAHL via EBSCO, PubMed, EMBASE via OVID, Web of Science, and gray literature sources were searched from inception to June 2021. Results: Fifteen studies emerging from high-income settings were retained. Data were organized around three concepts: components of palliative/ end of life care in the burn unit; models of integration; and outcomes. The components of interventions based on the Robert Wood Johnson Foundation Critical Care End-of Life Group domains include decision-making, communication, symptom management and comfort care, spiritual support, and emotional and practical support for families. Consultative and integrative models were noted to be the strategies for integrating PC in the burn unit. The outcomes were varied with only few studies reporting healthcare staff related outcomes. Conclusion: PC may have the potential of improving end-of-life care in the burn unit albeit the limited studies and lack of standardized outcomes makes it difficult to draw stronger conclusions regarding what is likely to work best in the burn unit.
目的:对文献进行梳理,以确定烧伤患者姑息治疗(PC)干预措施的组成部分、整合模式和结果。方法:采用Arksey和O'Malley的叙述性综合评价设计,并按照PRISMA-ScR指南进行报道。报告PC干预在烧伤科的初步研究被纳入考虑。检索了从创立到2021年6月的EBSCO CINAHL、PubMed、OVID EMBASE、Web of Science和灰色文献来源。结果:来自高收入环境的15项研究被保留。数据围绕三个概念进行组织:烧伤病房的姑息/临终关怀组成部分;集成模型;和结果。干预措施的组成部分基于罗伯特伍德约翰逊基金会危重护理临终组领域,包括决策,沟通,症状管理和舒适护理,精神支持,以及对家庭的情感和实际支持。咨询和综合模式被认为是整合烧伤单元PC的策略。结果各不相同,只有少数研究报告了与医护人员相关的结果。结论:PC可能有潜力改善烧伤病房的临终关怀,尽管有限的研究和缺乏标准化的结果使得很难得出更有力的结论,关于什么可能在烧伤病房最有效。
期刊介绍:
The Journal of Palliative Care is a quarterly, peer-reviewed, international and interdisciplinary forum for practical, critical thought on palliative care and palliative medicine. JPC publishes high-quality original research, opinion papers/commentaries, narrative and humanities works, case reports/case series, and reports on international activities and comparative palliative care.