护理学报 ›› 2023, Vol. 30 ›› Issue (11): 31-35.doi: 10.16460/j.issn1008-9969.2023.11.031
终末期成人患者死亡质量的研究进展
陈子怡a, 付洁b, 林慧菁a, 倪平a
- 华中科技大学同济医学院 a.护理学院; b.附属同济医院,湖北 武汉 430030
摘要： 目的 了解国内外终末期成人患者死亡质量的研究进展,为有效识别高危终末期患者、预防其低质量死亡并为构建系统化干预方案提供依据。方法 回顾总结国内外数据库相关文献,从终末期患者死亡质量现状、评估工具、影响因素和主要干预措施进行综述。结果 综述发现,有5类死亡质量评估工具,年龄、疾病与治疗因素、临终意愿依从性、死亡准备、家庭因素和文化因素是死亡质量的影响因素。预立医疗照护计划、症状管理和死亡教育是改善终末期患者死亡质量的有效干预措施。结论 终末期成人患者死亡质量水平较低,因其生命临终时期的特殊性,国内针对终末期患者的实践护理干预较少。建议后续研究者在临床实践中开展基于不同患者症状管理需求、针对不同影响因素的个体化医疗护理干预。
中图分类号:
- R48
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