The illness experience of older adults near the end of life: a systematic review

The illness experience of older adults near the end of life: a systematic review
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DOI:
10.1016/j.atc.2005.12.003
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发表时间:
2006-03-01
期刊:
ANESTHESIOLOGY CLINICS OF NORTH AMERICA
影响因子:
--
通讯作者:
White, EJ
White, EJ
中科院分区:
其他
文献类型:
--
作者:
Gruenewald, DA;White, EJ

文献摘要

被引文献

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一项系统的文献综述确定了对老年人生命即将结束的重要问题的定性研究,以根据老年人的观点建立一个关于老年人生命即将结束的疾病经历的模型。从40项研究中确定了六个要素,这些研究构成了死亡时疾病体验的核心领域:负担,痛苦,希望,尊严,决策,控制和自主权。这些因素与三个主题交织在一起:背景因素、看法和关切以及对疾病的反应。总的来说,核心领域和三个主题构成了一个接近生命尽头的疾病体验模型。
A systematic literature review identified qualitative studies of issues important to older people near the end of their lives, to develop a model of the illness experience near the end of life based on the views of older people. Six elements were identified from 40 studies that comprise a core domain of the experience of illness while dying: burden, Suffering, hope, dignity, decision making, and control and autonomy. These elements were interwoven with three main themes: contextual factors, perceptions and concerns, and response to illness. Collectively, the core domain and the three themes comprise a model of the experience of illness near the end of life.