以质量求发展,以服务铸品牌

护理学报 ›› 2022, Vol. 29 ›› Issue (14): 48-52.doi: 10.16460/j.issn1008-9969.2022.14.048

• 循证护理 • 上一篇    下一篇

脑卒中患者安宁疗护需求的范围综述

喻婷, 王聪, 刘珊珊, 杨智博, 寸薇, 蒋艳   

  1. 四川大学华西医院/四川大学华西护理学院 循证护理中心,四川 成都 610041
  • 收稿日期:2022-02-08 出版日期:2022-07-25 发布日期:2022-08-02
  • 通讯作者: 蒋艳(1977-),女,四川成都人,博士,教授,护理部主任,博士研究生导师。E-mail:Jiangkunyan@163.com
  • 作者简介:喻婷(1996-),女,四川内江人,硕士,护士。
  • 基金资助:
    四川省科技厅项目(2021YJ0015)

A Scoping Review of Hospice Care Need of Stroke Patients

YU Ting, WANG Cong, LIU Shan-shan, YANG Zhi-bo, CUN Wei, JIANG Yan   

  • Received:2022-02-08 Online:2022-07-25 Published:2022-08-02

摘要: 目的 对脑卒中患者安宁疗护需求相关文献进行范围审查,旨在为未来相关研究提供参考。方法 聚焦脑卒中患者安宁疗护,以范围综述方法为框架,系统检索中文和英文数据库及灰色数据库,检索时限为建库至2022年2月20日,对纳入文献进行汇总分析。结果 共纳入28篇文献,结果显示脑卒中患者安宁疗护需求大,但尚未得到广泛关注及应用,其主要影响因素包括人口学因素、疾病因素、家属因素、医护人员因素及医院/政策因素5个方面。结论 脑卒中患者安宁疗护研究分布不均衡,脑卒中患者安宁疗护需求繁多且复杂,其安宁疗护需求受多项因素影响,医院需重视脑卒中患者安宁疗护需求,同时加强医护人员相关知识与技能,不断满足患者及家属对安宁疗护需求。

关键词: 安宁疗护, 脑卒中, 现状, 影响因素, 范围综述

中图分类号: 

  • R473.54
[1] Campbell B, Khatri P.Stroke[J]. Lancet,2020,396(10244):129-142. DOI:10.1016/S0140-6736(20)31179-X.
[2] Kluger BM, Fox S, Timmons S, et al.Palliative Care and Parkinson’s Disease: Meeting Summary and Recommendations for Clinical Research[J]. Parkinsonism Relat Disord,2017,37:19-26. DOI: 10.1016/j.parkreldis.2017.01.008.
[3] Holloway RG, Arnold RM, Creutzfeldt CJ, et al.Palliative and End-of-life Care in Stroke: A Statement for Healthcare Professionals from the American Heart Association/American Stroke Association[J]. Stroke, 2014, 45(6):1887-1916. DOI: 10.1161/STR.0000000000000015.
[4] 葛树敏,国仁秀,方敏. 1例鼻咽癌终末期患者的安宁疗护[J].护理学报,2021,28(10):77-78.DOI:10.16460/j.issn1008-9969.2021.10.
[5] Casaubon LK, Boulanger J, Glasser E, et al.Canadian Stroke Best Practice Recommendations:Acute Inpatient Stroke Care Guidelines, Update 2015[J]. Int J Stroke,2016,11(2):239-252.DOI:10.1177/1747493015622461.
[6] Khan MZ, Zahid S, Kichloo A, et al.Gender, Racial, Ethnic and Socioeconomic Disparities in Palliative Care Encounters in Ischemic Strokes Admissions[J]. Cardiovasc Revasc Med,2021,35:147-154. DOI: 10.1016/j.carrev.2021.04.004.
[7] Arksey H, O Malley L. Scoping Studies: Towards a Methodological Framework[J]. Int J Soc Res Methodol,2005, 8(1): 19-32. DOI:10.1080/1364557032000119616.
[8] Comer AR, Williams LS, Bartlett S, et al.Palliative and End-of-life Care After Severe Stroke[J]. J Pain Symptom Manage,2022, 63(5):721-728. DOI:10.1016/j.jpainsymman.2021.12.032.
[9] Su JJ, Lin R, Paguio J, et al.Palliative Care for Older Adults Hospitalized for Stroke from the Informal Caregivers’ Perspectives: A Qualitative Study[J]. J Cardiovasc Nurs,2022.DOI: 10.1097/JCN.0000000000000923.Epub ahead of print.
[10] Tayebeh F, Esfandyar B, Monireh R M.Study of Palliative Care Needs among Stroke Patients Referred to Physiotherapy Centers[J]. Preventive Care in Nursing and Midwifery Journal,2020, 10(2): 26-33.
[11] 徐爱科. 一例脑卒中伴多发性压力性损伤的高龄临终患者的家庭护理[J].中国实用护理杂志,2020,36(36):2857-2861. DOI: 10.3760/cma.j.cn211501-20200220-00521.
[12] Saricam G, Akdogan D, Kahveci K.Palliative Care After Stroke[J]. Acta Neurol Belg,2019, 119(1):69-75. DOI:10.1007/s13760-018-1047-0.
[13] Chauhan N, Ali SF, Hannawi Y, et al.Utilization of Hospice Care in Patients with Acute Ischemic Stroke[J]. Am [J] Hosp Palliat Care. 2019,36(1):28-32.DOI:10.1177/1049909118796796.
[14] Toumbs RR, Cossey TC, Taylor TL, et al.Standardizing Communications Improves Use of Palliative Care in Patients With Stroke[J]. J Nurs Pract,2019,15(5):E89-E92. DOI:10.1016/j.nurpra.2018.12.019.
[15] Williams MT, Zimmerman E, Barry M, et al.A Retrospective Review of Patients with Acute Stroke with and without Palliative Care Consultations[J]. Am J Hosp Palliat Care,2019, 36(1):60-64. DOI:10.1177/1049909118787136.
[16] Faigle R, Gottesman RF.Variability in Palliative Care Use after Intracerebral Hemorrhage at US Hospitals: A Multilevel Analysis[J]. Neuroepidemiology,2019,53(1/2):84-92. DOI: 10.1159/000500276.
[17] Kaufman BG, O’Brien EC, Stearns SC, et al. Medicare Shared Savings ACOs and Hospice Care for Ischemic Stroke Patients[J]. J Am Geriatr Soc,2019, 67(7):1402-1409. DOI: 10.1111/jgs.15852.
[18] Kendall MMP, Boyd KP, Murray SAM, et al.Outcomes, Experiences and Palliative Care in Major Stroke: A Multicentre, Mixed-method, Longitudinal Study[J]. CMAJ,2018, 190(9):E238-E246. DOI: 10.1503/cmaj.170604.
[19] Doubal F, Cowey E, Bailey F, et al.The Key Challenges of Discussing End-of-life Stroke Care with Patients and Families: A Mixed-methods Electronic Survey of Hospital and Community Healthcare Professionals[J]. J R Coll Physicians Edinb,2018, 48(3):217-224. DOI:10.4997/JRCPE.2018.305.
[20] Quadri SZ, Huynh T, Cappelen Smith C, et al.Reflection on Stroke Deaths and End-of-life Stroke Care[J]. Intern Med J, 2018, 48(3):330-334. DOI: 10.1111/imj.13619.
[21] Singh T, Peters SR, Tirschwell D L, et al.Palliative Care for Hospitalized Patients with Stroke Results from the 2010 to 2012 National Inpatient Sample[J]. Stroke, 2017, 48(9): 2534. DOI: 10.1161/STROKEAHA.117.016893.
[22] Faigle R, Ziai WC, Urrutia VC, et al.Racial Differences in Palliative Care Use after Stroke in Majority-white, Minority-serving, and Racially Integrated U.S. Hospitals[J]. Crit Care Med,2017, 45(12): 2046-2054. DOI: 10.1097/CCM.0000000000002762.
[23] Eriksson H, Milberg A, Hjelm K, et al.End of Life Care for Patients Dying of Stroke: A Comparative Registry Study of Stroke and Cancer[J]. PloS One,2016,11(2):e147694. DOI: 10.1371/journal.pone.0147694.
[24] Murthy SB, Moradiya Y, Hanley DF, et al.Palliative Care Utilization in Nontraumatic Intracerebral Hemorrhage in the United States*[J]. Crit Care Med,2016,44(3):575-582.DOI: 10.1097/CCM.0000000000001391.
[25] Alonso A, Ebert AD, Dörr D, et al.End-of-life Decisions in Acute Stroke Patients: An Observational Cohort Study[J]. BMC Palliat Care,2016, 15:38. DOI:10.1186/s12904-016-0113-8.
[26] Ntlholang O, Walsh S, Bradley D, et al.Identifying Palliative Care Issues in Inpatients Dying Following Stroke[J]. Ir J Med Sci,2016,185(3):741-744.DOI:10.1007/s11845-015-1290-9.
[27] Cowey E, Smith LN, Stott DJ, et al.Impact of a Clinical Pathway on End-of-life Care Following Stroke: A Mixed Methods Study[J]. Palliat Med, 2015, 29(3):249-259. DOI: 10.1177/0269216314551378.
[28] San Luis COV, Staff I, Fortunato GJ, et al.Dysphagia as a Predictor of Outcome and Transition to Palliative Care among Middle Cerebral Artery Ischemic Stroke Patients[J]. BMC Palliat Care,2013, 12:21. DOI: 10.1186/1472-684X-12-21.
[29] Eastman P, Mccarthy G, Brand CA, et al.Who, Why and When: Stroke Care Unit Patients Seen by a Palliative Care Service within a Large Metropolitan Teaching Hospital[J]. BMJ Support Palliat Care, 2013, 3(1):77-83. DOI: 10.1136/bmjspcare-2012-000331.
[30] Burton CR, Payne S.Integrating Palliative Care within Acute Stroke Services: Developing a Programme Theory of Patient and Family Needs, Preferences and Staff Perspectives[J]. BMC Palliat Care, 2012, 11. DOI: 10.1186/1472-684X-11-22.
[31] Holloway RG, Ladwig S, Robb J, et al.Palliative Care Consultations in Hospitalized Stroke Patients[J]. J Palliat Med,2010, 13(4):407-412. DOI:10.1089/jpm.2009.0278.
[32] Payne S, Burton C, Addington-Hall J, et al.End-of-Life Issues in Acute Stroke Care: A Qualitative Study of the Experiences and Preferences of Patients and Families[J]. Palliat Med, 2010, 24(2):146-153.DOI:10.1177/0269216309350252.
[33] Blacquiere DP, Gubitz GJ, Dupere D, et al.Evaluating an Organized Palliative Care Approach in Patients with Severe Stroke[J]. Can J Neurol Sci,2009,36(6):731-734. DOI: 10.1017/s0317167100008349.
[34] Dupreez AE, Smith MA, Liou J, et al.Predictors of Hospice Utilization among Acute Stroke Patients Who Died within Thirty Days[J]. J Palliat Med, 2008, 11(9):1249-1257. DOI: 10.1089/jpm.2008.0124.
[35] 王玫,李婉玲,乐霄,等. 加拿大安大略注册护士学会2020版《临终前12个月安宁疗护临床实践指南》解读[J]. 护理研究, 2022, 36(9):1505-1510. DOI:10.12102/j.issn.1009-6493.2022.09.001.
[36] 陈丽富,邓伟英,徐敏玲,等. 多学科合作安宁疗护在三级综合医院肿瘤临终患者中的实践[J]. 护理学报, 2020, 27(15):56-59. DOI:10.16460/j.issn1008-9969.2020.15.056.
[37] White N, Kupeli N, Vickerstaff V, et al.How Accurate Is the ‘Surprise Question’ at Identifying Patients at the End of Life? A Systematic Review and Meta-analysis[J]. BMC Med, 2017, 15(1):139. DOI:10.1186/s12916-017-0907-4.
[38] Dilello LC, Mulvihill K, Carpini JD, et al.Content Validation of Advanced Illness Criteria of a Palliative Care Screening Tool[J]. J Palliat Med,2018, 21(11): 1604-1608. DOI: 10.1089/jpm.2017.0703.
[39] Scherrens AL, Beernaert K, Magerat L, et al.Palliative Care Utilisation: Family Carers’ Behaviours and Determinants-a Qualitative Interview Study[J]. BMJ Support Palliat Care,2022, 12(e1):e146-e154. DOI:10.1136/bmjspcare-2020-002207.
[40] National Institute for Health and Care Excellence. End of Life Care for Adults[EB/OL]. (2021-09-01)[2022-02-20]. https://www.nice.org.uk/guidance/QS13.
[1] 苏孟宇, 王真, 吴金凤, 李晓燕, 张玉玺. 临床护士开展哀伤辅导的现状及研究进展[J]. 护理学报, 2022, 29(9): 26-30.
[2] 李翔, 冯英璞, 孟晓静, 周立民, 霍晓冉, 许梦敏, 王昊. 脑卒中患者口腔健康管理的最佳证据总结[J]. 护理学报, 2022, 29(9): 36-41.
[3] 邹自玉, 唐红梅, 吴丽, 陈荣凤, 梅花. 乳腺癌相关健康教育材料可读性评估的范围综述[J]. 护理学报, 2022, 29(9): 42-46.
[4] 吕娜, 许凤琴, 刘春梅, 邵晴. 安宁疗护专科护士再认证的研究现状与启示[J]. 护理学报, 2022, 29(9): 31-35.
[5] 朱金凤, 方莹莹, 王芳, 袁萍, 陈璐. 脑卒中幸存者运动依从性影响因素质性研究的Meta整合[J]. 护理学报, 2022, 29(8): 7-13.
[6] 杨思雨, 樊溶榕, 谌永毅, 王英, 洪源, 李旭英. 安宁疗护病房团队会议管理与实践[J]. 护理学报, 2022, 29(8): 23-26.
[7] 燕文娟, 李壮苗, 余梦婷, 李施恩, 池艳红. 脑卒中患者病耻感影响因素的系统评价[J]. 护理学报, 2022, 29(8): 46-52.
[8] 刘慧, 郭丽蕊, 陈秋香, 刘春英, 贺娟凤, 吴小佳. 急性脑卒中患者入院时迁移应激的现象学研究[J]. 护理学报, 2022, 29(8): 75-78.
[9] 朱展慧, 林征, 周美景, 王咪, 孙彩云, 顾珺怡. 决策辅助工具在炎症性肠病患者中应用的范围综述[J]. 护理学报, 2022, 29(7): 44-49.
[10] 施冰梓, 杨素云, 辛笛诺. 131I治疗分化型甲状腺癌患者被服辐射残余剂量率影响因素分析及防护建议[J]. 护理学报, 2022, 29(7): 69-73.
[11] 张慧超, 王楠楠, 张玉玺. 安宁疗护护士情感劳动经历质性研究的Meta整合[J]. 护理学报, 2022, 29(6): 37-43.
[12] 杨洁, 谢小华, 连万成, 杨梅, 邓丽萍, 潘璐. 急性缺血性脑卒中静脉溶栓后出血预测模型的构建与验证[J]. 护理学报, 2022, 29(5): 10-14.
[13] 左倩倩, 曾文捷, 廖敏怡, 李景秋, 罗岚, 高钰琳. 199名安宁疗护护士职业悲伤现状及影响因素分析[J]. 护理学报, 2022, 29(4): 46-52.
[14] 张娜, 朱丽辉, 罗听薇, 向玉琼, 熊月娥, 陈牡花, 唐倩. 儿童安宁疗护应用研究进展[J]. 护理学报, 2022, 29(4): 12-16.
[15] 李婧雯, 梅紧紧, 王艺莹, 郭健, 任彬彬, 冯晓东, 李瑞青. 不同针刺方法治疗脑卒中后患者肢体痉挛总有效率的贝叶斯网状Meta分析[J]. 护理学报, 2022, 29(3): 1-6.
Viewed
Full text


Abstract

Cited

  Shared   
[1] 吴晓娜, 杨舒涵, 孙晓明, 魏宁, 韩慧, 张嘉鹏, 叶增杰. 护生人格画像的潜在剖面与专业认同的关系研究[J]. 护理学报, 2022, 29(13): 1 -5 .
[2] 何春燕, 郭丝锦, 林亚玮, 杜艳玲, 高丽, 曹宝花. 女性乳腺癌患者社会疏离特征及预测指标的研究[J]. 护理学报, 2022, 29(13): 6 -11 .
[3] 冉雪, 樊落, 马晓艳, 王佳明, 成对霞, 杨志广. 基于HEART评分急性非创伤性胸痛患者分诊工具的构建[J]. 护理学报, 2022, 29(13): 12 -16 .
[4] 蒋琪霞, 陈倩竹, 赵静, 陈德凤, 封海霞, 潘晓虹, 洪艳燕, 俞萍, 黄仕明, 王春立, 马芳, 徐芳芳, 于秀娟. 皮肤损伤多中心研究前混合模式和视频播放模式培训参研护士的效果比较[J]. 护理学报, 2022, 29(13): 17 -20 .
[5] 张标新, 胡少华, 胡翠霞, 丁金霞, 孙琴枝, 王伊春. 本科生护理技能竞赛促临床护理教学质量提升[J]. 护理学报, 2022, 29(13): 21 -24 .
[6] 李春朋, 俞晓梅, 朱世超, 李黎明. 郑州7·20特大洪灾重症患者院际航空救援的护理安全管理[J]. 护理学报, 2022, 29(13): 25 -28 .
[7] 姜贺, 肖芷蕊, 臧小英, 赵英娜. 护理不良事件教学案例文本结构指标体系的构建研究[J]. 护理学报, 2022, 29(13): 29 -31 .
[8] 蒋向玲, 陈春兰. 肿瘤单病种个案管理全病程服务模式的建立与实践[J]. 护理学报, 2022, 29(13): 32 -34 .
[9] 蔡婷婷, 周婷婷, 朱瑞, 袁长蓉. 虚拟现实技术在注意缺陷多动障碍儿童康复中的应用进展[J]. 护理学报, 2022, 29(13): 35 -38 .
[10] 杜玫洁, 张娜, 李咪琪, 黄素芳. 急危重症患者外周静脉通路建立相关指南的质量评价及内容分析[J]. 护理学报, 2022, 29(13): 39 -45 .