心理学家在儿童和青少年姑息治疗中的作用:综合文献综述

Natália Salm Loch, Beatriz Carla Koch
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摘要

儿科姑息关怀(PPCs)旨在提高患有威胁和/或限制生命的疾病或病症的儿童和青少年患者或家属的生活质量。姑息治疗由多学科团队实施,心理学家是其中的专业人员之一。然而,在实证研究和文献综述中,心理学家在这种情况下的作用仍未系统化。因此,本文旨在通过综合文献综述,描述心理学家在儿童和青少年姑息关怀中的作用。本文采用了 Prisma P 协议,访问了 12 个数据库,摘录了 968 项研究。在筛选摘要和阅读研究报告后,共收录了 6 篇文章。通过演绎-归纳主题分析法对这些出版物进行了分析,创建了三个类别:(1)CPP 和生命终结的概念;(2)心理学家在 CPP 中的角色;(3)对心理学家在 CPP 中角色的理解。研究结果表明,心理学家在临终关怀方案中的作用涵盖了护理的所有阶段:重点是情绪管理、人际关系、沟通、死后对家庭成员的支持,此外还可能协助其他医疗专业人员,并进行培训或监督。据观察,心理学家几乎没有融入方案协调小组,在科学文献中,心理学家和其他专业人员提供的支持也没有什么区别。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
O PAPEL DO PSICÓLOGO NOS CUIDADOS PALIATIVOS DE CRIANÇAS E ADOLESCENTES: Uma revisão integrativa de literatura
Pediatric palliative care (PPCs) seeks to promote quality of life in patients or families of children and adolescents with illnesses or conditions that threaten and/or limit life. CPPs are carried out by multidisciplinary teams and the psychologist is one of the professionals who can be part of them. However, the role of the psychologist in this context remains unsystematized in empirical studies and literature reviews. Thus, the objective of this article was to describe, through an integrative literature review, the state of the art of the psychologist's role in palliative care for children and teenagers. It was used the Prisma P protocol, in which 12 databases were accessed and 968 studies were extracted. Six articles were included at the end of screening the abstracts and reading the studies. The publications were analyzed by deductive-inductive thematic analysis, creating three categories: (1) concept of CPPs and end of life, (2) role of the psychologist in CPPs, and (3) understandings about the role of the psychologist in CPPs. The results indicate that the role of the psychologist in CPPs covers all moments of care: focusing on management of emotions, interpersonal relationships, communication, supporting family members after death, beyond the possibility of assisting other health professionals and doing training or supervision. It was observed that there is little integration of psychologists in PPC teams, and a small distinction in the scientific literature regarding the support provided by psychologists and other professionals.
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