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生命终末期患者濒死体验质性研究的Meta整合 被引量:7

Experiences of Patients Near the End of Life:a Meta-synthesis
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摘要 目的分析生命终末期患者的濒死体验,为实现患者"优逝"的目标提供依据。方法计算机检索中文数据库:中国知网(CNKI)、万方数据知识服务平台、中国生物医学文献服务系统(CBM)、维普网(VIP)及外文数据库:Cochrane Library、PubMed、Medline、EBSCO、CINAHL、Web of Knowledge、EMBase。纳入关于生命终末期患者濒死体验的质性研究。检索时间截至2017年10月。进行Meta整合与分析。结果共纳入6篇文献,经Meta整合后得出5个主题:灵性困扰的牵动,减负的意愿,"死亡"表达的渴求,死亡态度的差异,生命本真的回归。结论濒死体验反映了患者面对死亡时身、心、灵的感受。积极面对死亡,获取生命平和安详的内在力量,回归生命的本真是满足濒死患者身、心、灵需求,实现"优逝"的关键。 ObjectiveTo analyze experiences of patients near the end of life, so as to provide the basis for realizing “good death” for patients.MethodsThrough Meta synthesis,qualitative researches which reported the experience of patients near the end of life were enrolled and summarized from Chinese databases such as CNKI,Wanfang,CBM,VIP and English databases such as Cochrane Library,PubMed,Medline,EBSCO,CINAHL,Web of Knowledge and EMBase.ResultsA total of 6 research literatures were collected.Five themes were identified spiritual distress;desire of alleviating burdens;desire of talking about the death;differences in attitudes towards death;and returning to the essence of life.ConclusionNear-death experience reflected the experience of human body,mind and spirit.The key to meet the needs of human body,mind and spirit of dying patients and to realize “good death” is to face death with positive attitude,gaining the internal force of peace and returning to the essence of life.
作者 梁敏余 潘艺朝 李巧慧 李金秋 LIANG Minyu;PAN Yichao;LI Qiaohui;LI Jinqiu(Zhuhai Campus of Zunyi Medical University,Zhuhai 519090,China;Guangzhou First People's Hospital,Guangzhou 510000,China)
出处 《中国全科医学》 CAS 北大核心 2018年第35期4371-4376,共6页 Chinese General Practice
基金 珠海市哲学社会科学规划课题(2017YB074)
关键词 生命 死亡 META分析 Life Death Meta-analysis
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