Palliative and end-of-life care research in Scotland 2006-2015: a systematic scoping review.
Palliative and end-of-life care research in Scotland 2006-2015: a systematic scoping review.
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苏格兰2006- 2015年的姑息治疗和临终关怀研究：系统范围的评论。
DOI：
10.1186/s12904-017-0266-0
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发表时间：
2018-01-26
影响因子：
3.1
通讯作者：
Murray SA
中科院分区：
文献类型：
--
作者：
Finucane AM;Carduff E;Lugton J;Fenning S;Johnston B;Fallon M;Clark D;Spiller JA;Murray SA
苏格兰政府在其《2016-2021年战略行动框架》中提出了改善姑息治疗的五年愿景。这包括致力于加强苏格兰各地的研究和基于证据的知识交流。苏格兰姑息治疗研究的全面范围审查被认为是重要的第一步。该审查的目的是量化和地图姑息治疗研究在苏格兰超过十年的时间之前的新战略（2006-15）。进行了系统的范围界定审查。姑息治疗研究涉及至少一名来自苏格兰机构的共同作者有资格入选。使用相关MeSH术语和关键词检索了5个数据库;添加了苏格兰姑息和临终关怀研究论坛成员撰写的其他论文。总共筛选了1919篇论文，496篇进行了全文审查，308篇保留在最终集中。73%是描述性研究，10%是干预或可行性研究。研究重点的前三个领域是服务和设置;经验和/或需求;和身体症状。58篇论文涉及癌症以外疾病患者的姑息治疗，占所有发表论文的近五分之一。很少有研究关注电子保健、卫生经济学、工作时间外和公共卫生。近一半的论文描述了没有资助的研究或没有承认资助者（46%）。在所审查的十年中，苏格兰姑息治疗研究稳步增加。研究成果与早期苏格兰综述（1990-2005）和爱尔兰姑息治疗研究（2002-2012）的类似综述相比表现强劲。大量的描述性证据存在于苏格兰慢性进行性疾病的生活和死亡中;现在需要优先考虑干预研究。未来研究的重点领域包括对非恶性疾病和多发病人群的姑息性干预;身心症状评估和管理;支持护理人员的干预措施;以及丧亲支持。需要开展知识交流活动，向研究用户传播研究成果，并建议进行后续审查，以审查今后的研究进展。本文的在线版本（10.1186/s12904-017-0266-0）包含补充材料，可供授权用户使用。
The Scottish Government set out its 5-year vision to improve palliative care in its Strategic Framework for Action 2016–2021. This includes a commitment to strengthening research and evidence based knowledge exchange across Scotland. A comprehensive scoping review of Scottish palliative care research was considered an important first step. The aim of the review was to quantify and map palliative care research in Scotland over the ten-year period preceding the new strategy (2006–15). A systematic scoping review was undertaken. Palliative care research involving at least one co-author from a Scottish institution was eligible for inclusion. Five databases were searched with relevant MeSH terms and keywords; additional papers authored by members of the Scottish Palliative and End of Life Care Research Forum were added. In total, 1919 papers were screened, 496 underwent full text review and 308 were retained in the final set. 73% were descriptive studies and 10% were interventions or feasibility studies. The top three areas of research focus were services and settings; experiences and/or needs; and physical symptoms. 58 papers were concerned with palliative care for people with conditions other than cancer – nearly one fifth of all papers published. Few studies focused on ehealth, health economics, out-of-hours and public health. Nearly half of all papers described unfunded research or did not acknowledge a funder (46%). There was a steady increase in Scottish palliative care research during the decade under review. Research output was strong compared with that reported in an earlier Scottish review (1990–2005) and a similar review of Irish palliative care research (2002–2012). A large amount of descriptive evidence exists on living and dying with chronic progressive illness in Scotland; intervention studies now need to be prioritised. Areas highlighted for future research include palliative interventions for people with non-malignant illness and multi-morbidity; physical and psychological symptom assessment and management; interventions to support carers; and bereavement support. Knowledge exchange activities are required to disseminate research findings to research users and a follow-up review to examine future research progress is recommended. The online version of this article (10.1186/s12904-017-0266-0) contains supplementary material, which is available to authorized users.
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影响因子：
4.4
作者：
Centeno, Carlos;Lynch, Thomas;Clark, David
通讯作者：
Clark, David
影响因子：
4.4
作者：
Boyd, Kirsty J.;Worth, Allison;Murray, Scott A.
通讯作者：
Murray, Scott A.
影响因子：
3.6
作者：
Cavers, Debbie;Hacking, Belinda;Murray, Scott A.
通讯作者：
Murray, Scott A.
影响因子：
1
作者：
Campbell, Cathy L.;Bailey, Cara;Coast, Joanna
通讯作者：
Coast, Joanna
影响因子：
5.9
作者：
Boyd, Kirsty;Mason, Bruce;Murray, Scott A.
通讯作者：
Murray, Scott A.