End-of-life care in U.S. nursing homes: a review of the evidence.
End-of-life care in U.S. nursing homes: a review of the evidence.
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DOI：
10.1097/01.jam.0000123063.79715.8e
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发表时间：
2004-05-01
影响因子：
7.6
通讯作者：
Zweig, Steven
中科院分区：
文献类型：
--
作者：
Oliver, Debra Parker;Porock, Davina;Zweig, Steven
目的：本研究的目的是系统地回顾美国疗养院临终关怀的经验证据。本次回顾的指导性研究问题是长期护理中临终关怀的研究证据状况如何？设计：我们对文献进行了系统回顾。数据：该回顾仅限于 1995 年至 10 月期间在五个主要数据库的同行评审期刊上发表和索引的研究2002. 结果：初步检索共找到 395 篇文章。搜索范围缩小，重点关注美国的疗养院和经验研究。结果是 43 篇与美国疗养院临终关怀研究相关的文章。它分为八个焦点：预后、疼痛、临终关怀、住院治疗、高级护理计划、沟通、家庭观念和杂项。结论：在疗养院环境中发表的临终护理研究很少。可用的内容主要是描述性的。实证研究仅记录了美国疗养院糟糕的临终关怀。该领域的经验证据不断增多，但现在需要研究创造性和创新性的解决方案，旨在提高该领域临终关怀的质量。
OBJECTIVES: The purpose of this study was to systematically review the empiric evidence on end-of-life care in nursing homes in the United States The guiding research question for this review was what is the state of research evidence in end-of-life care in long-term care?DESIGN: We conducted a systematic review of the literature.DATA: The review was limited to published and indexed research in peer-reviewed journals in five major databases between 1995 and October 2002.RESULTS: The initial search yielded a total of 395 articles. The search was narrowed, focusing on nursing homes in the United States and empiric research. The result was 43 articles related to research in end-of-life care in American nursing homes. It was categorized into eight foci: prognosis, pain, hospice, hospitalization, advanced care planning, communication, family perceptions, and miscellaneous.CONCLUSION: There is a dearth of research published in end-of-life care in the nursing home setting. What is available is primarily descriptive. The empiric research only documents poor end-of-life care in U.S. nursing homes. Empiric evidence has grown in this area, but there is now a need for research of creative and innovative solutions aimed at improving the quality of end-of-life care in this setting.