临终病人姑息治疗的模式和要素:一项系统综述

Q1 Medicine
N. Arisanti, P. Hadisoemarto, E. P. S. Sasongko, Veranita Pandia, D. Hilmanto
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引用次数: 0

摘要

背景:许多姑息治疗模式已经实施,然而,由于一个国家内部的社会文化、疾病模式和卫生系统的差异,一种卫生保健模式不能直接应用于一个国家。本研究旨在对姑息治疗模式和姑息治疗模式要素进行系统回顾分析。方法:进行系统评价。文章通过四个电子数据库检索;PubMed, Web of Science, Ovid和NICE数据库。三位审稿人对搜索结果进行筛选,并根据其主要目的对数据进行分类。进一步综合得出了关怀的要素和模式。结果:初步搜索策略确定218个。根据霍克质量评估量表,只有14篇文章符合评审和综合标准。在14篇文章中,4篇描述了慢性疾病(心力衰竭、终末期肾病)的姑息治疗,10篇描述了癌症的姑息治疗。综合姑息治疗模式是最常被描述的。其他模式有临时护理、护理辅助和个人报警模式、以家庭为中心的高级护理和年轻人的生命终结护理。本系统综述还确定了姑息治疗模式的要素,并将其分类为来自患者和家属、人员和卫生保健系统的要素。结论:一些研究详细描述了姑息治疗模式和姑息治疗模式的要素。需要更详细的方法和人口规格才能准确地找到结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The model and elements of palliative care for patients with terminal illness: A systematic review
Backgorund: Many models of palliative care have already been implemented, however, a model of health care cannot be directly applied in a country because of the differences in socio-cultural, disease patterns and health systems within the country. This study aimed to conduct a systematic review to analyze models of palliative care and elements of model for palliative care.  Methods: A systematic review was conducted. Articles were searched by four electronic databases; PubMed, Web of Science, Ovid and NICE Database. Three reviewers screened the search results and data were classified according to their main objective. Further synthesize was conducted to show element and model of care.  Results: The initial search strategy identified 218. Based on Hawker quality assessment scale, only 14 articles met criteria for review and synthesis. Out of 14, 4 articles describe palliative care for chronic disease (heart failure, end stage renal disease) and 10 for cancer. The integrated palliative care model has been the most frequently described. The other models are respite care, care-aide and personal alarm model, family centered advanced care, and end of life care for young adults. This systematic review also identified elements of model for palliative care and categorized as element from patient and family, personnel and health care system. Conclusion: A few studies are describing a model of palliative care and elements of model for palliative care in detail. More detailed methodological and population specifications are needed to accurately find the results. 
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Asia Pacific Family Medicine
Asia Pacific Family Medicine Medicine-Family Practice
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