门诊姑息治疗的质量指标：一项系统综述

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing Pub Date : 2025-05-10 DOI:10.1016/j.apjon.2025.100718

Sina Sharifi , Salman Barasteh , Akram Parandeh , Seyed Qasem Mousavi

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引用次数: 0

摘要

目的门诊姑息治疗是卫生保健系统中为危及生命的患者提供服务的一个组成部分。确定门诊姑息治疗的指标有助于改善这些服务。因此，本研究旨在确定门诊对生命受限患者护理的质量指标。方法本系统评价采用PRISMA （Preferred Reporting Items for systematic Reviews and meta - analysis）指南进行，检索数据库包括PubMed、ProQuest、Science Direct、Web of Science、Scopus和谷歌Scholar搜索引擎，不受时间限制。采用研究与评价指标评价（AIRE）工具进行质量评价。最后的指标分类基于内容分析方法，使用传统的内容分析和Donabedian模型。结果在659篇鉴定文章中筛选出6篇进行最终分析。在本综述中，确定了门诊姑息治疗的32个质量指标：19个指标归为过程维度，11个归为结果维度，2个归为结构维度。这些指标分为患者-护理提供者关系和相互理解（5个指标）、症状和疼痛管理（22个指标）、支持性护理和转诊（5个指标）以及总体患者体验评估（8个指标）等领域。结论本研究结果表明，确定的指标主要集中在门诊姑息治疗的生理和心理方面。本综述首次对门诊姑息治疗质量指标进行了系统的分类，并突出了未来发展的重点领域。有必要扩大门诊护理质量指标，包括结构，文化和社会维度，以提供全面的，以患者为中心的姑息治疗。

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Quality indicators of outpatient palliative care: A systematic review

Objective

Outpatient palliative care is an integral part of providing services to patients with life-threatening conditions within health care systems. Identifying indicators of outpatient palliative care can help improve these services. Therefore, this study was conducted to identify quality indicators for the care of patients with life-limiting conditions in outpatient settings.

Methods

This systematic review was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and included a search of databases such as PubMed, ProQuest, Science Direct, Web of Science, Scopus, and the Google Scholar search engine, with no time restrictions. Quality assessment was performed using the Appraisal of Indicators through Research and Evaluation (AIRE) tool. Final indicators were categorized based on a content analysis approach using conventional content analysis and the Donabedian model.

Results

Six articles were selected for final analysis among the 659 identified articles. In this review, 32 quality indicators specific to outpatient palliative care were identified: 19 indicators were categorized under the process dimension, 11 under outcomes, and two under structure. These indicators were grouped into areas such as the patient-care provider relationship and mutual understanding (5 indicators), symptom and pain management (22 indicators), supportive care and referrals (5 indicators), and overall patient experience assessment (8 indicators).

Conclusions

The findings of this study indicated that the identified indicators primarily focused on the physical and psychological aspects of outpatient palliative care. This review is the first to systematically categorize outpatient palliative care quality indicators and highlight priority areas for future development. There is a need to expand outpatient care quality indicators to include structural, cultural, and social dimensions to provide comprehensive, patient-centered palliative care.

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