Concept Analysis of End-of-Life Care.
Concept Analysis of End-of-Life Care.
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DOI：
10.34172/jcs.2022.037
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发表时间：
2022-08
影响因子：
--
通讯作者：
Heydari A
中科院分区：
文献类型：
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作者：
Abbaspour H;Heydari A
前言：人类死亡的必然性促使护理系统在生命末期提高生活质量(QOL)。然而，主要的问题是，临终关怀(EOLC)的界限还没有得到准确的界定。因此，本研究旨在澄清EOLC的概念。方法：本研究基于Walker和Avant的八步法(2019年)进行。应用计算机检索PubMed/Medline、Web of Science、Scope us、EMBASE和Google Scholar等数据库中2010年1月至2020年9月的相关文献，检索词分别为“Term Care”、“Longice Care”、“Nursing Temporative Care”和“End of Life”。在总共获得的302篇文章中，有14篇纳入了这项研究。结果：EOLC的特点包括：姑息治疗；改善生活质量；减轻身体、心理和心理症状的痛苦和折磨；通过考虑伦理问题和尊重患者的独立性来填补治疗团队与家庭照顾者之间的空白。此外，通过采取团队方式，EOLC帮助家庭提供身体、情感、社交和精神上的支持。EOLC是一个全面和富有同情心的过程，它不会加速或推迟死亡，而是尊重和安慰患者。结论：EOLC可以被定义为一种姑息和人文关怀，以整体和团队为基础的方法，关注患者及其家人的所有维度。它还改善了生命末期甚至死亡时的幸福感，并帮助家庭摆脱悲痛。
Introduction: The inevitability of human mortality encourages the care system to enhance the quality of life (QOL) at the end of life. However, the main problem is that the boundaries of care as end-of-life care (EOLC) have not been defined precisely. Hence, this study aimed to clarify the concept of EOLC. Methods: This study was conducted based on Walker and Avant’s eight-step approach (2019). A detailed review of the literature was accomplished in the databases including PubMed/Medline, Web of Sciences, Scopus, EMBASE, and Google Scholar from January 2010 to September 2020 using the keywords ‘Terminal Care’, ‘Hospice Care’, ‘Nursing Palliative Care’, and ‘End of Life’. Out of a total of 302 articles obtained, 14 articles were included in the study. Results: The properties of EOLC included the following items: palliative care; improving QOL; reducing pain and suffering from physical, psychological, and psychological symptoms; and filling the gap between treatment teams and family caregivers through considering ethical issues and respecting patients’ independence. Furthermore, through taking a team approach, EOLC helps the family with physical, emotional, social, and spiritual supports. EOLC is a comprehensive and compassionate process that does not hasten or delay death, but respects and comforts the patient. Conclusion: The EOLC can be defined as a palliative and humanistic care with a holistic and team-based approach focusing on all dimensions of the patients and their families. It also improves well-being at the end of life or even at the time of death, and helps the families with their grieves.