背景社区干预是临终期肿瘤患者安宁疗护的重要组成部分,其在临终期肿瘤患者健康管理中的作用尚有待循证医学证据的支持。目的评价社区参与安宁疗护对临终期肿瘤患者的干预效果。方法于2022-05-22,采用Cochrane系统评价方法,以“社区”...背景社区干预是临终期肿瘤患者安宁疗护的重要组成部分,其在临终期肿瘤患者健康管理中的作用尚有待循证医学证据的支持。目的评价社区参与安宁疗护对临终期肿瘤患者的干预效果。方法于2022-05-22,采用Cochrane系统评价方法,以“社区”“医疗模式”“临终期肿瘤”等为检索词检索万方数据知识服务平台、中国知网、维普网,以“Community-based”“Model of Palliative Care”“Advanced Cancer”“Quality of Life”等为检索词检索Cochrane Library、PubMed、Web of Science,以获取和社区参与安宁疗护干预效果相关的文献,研究类型设定为随机对照试验(RCT),检索时限设定为2007-01-01至2022-05-10。对符合纳入标准的RCT进行质量评价,提取有效信息进行Meta分析。结果共纳入11项英文RCT(涉及患者2356例),9项中文RCT(涉及患者1238例)。Meta分析结果显示:与常规肿瘤护理相比,社区参与的安宁疗护能够改善临终期肿瘤患者的生活质量和症状严重程度,其可提高患者的慢性病支持治疗功能评价量表得分〔MD(95%CI)=3.77(0.83,6.71),P=0.01〕、癌症患者生命质量测定量表总分〔MD(95%CI)=12.53(2.36,22.69),P=0.02〕,降低患者的癌症治疗功能评价量表总分〔MD(95%CI)=-2.61(-3.53,-1.70),P<0.01〕、埃德蒙顿量表得分〔MD(95%CI)=-2.45(-4.70,-0.20),P=0.03〕。但是否能改善患者的抑郁症状、总体生存率存在争议,而对于入院率、住院天数/次数等经济学指标的作用有待进一步研究。结论社区参与的安宁疗护可以改善临终期肿瘤患者的生活质量和症状严重程度,但在改善抑郁、提高生存率、降低医疗成本方面的作用有待进一步研究。展开更多
目的系统整合关于居家安宁疗护患者及其家属移动医疗体验的质性研究,为移动医疗在居家安宁疗护患者中的应用和发展提供循证依据。方法计算机检索PubMed、web of science、PsycINFO、CINAHL、Embace、Cochrane Library、中国知网、中国...目的系统整合关于居家安宁疗护患者及其家属移动医疗体验的质性研究,为移动医疗在居家安宁疗护患者中的应用和发展提供循证依据。方法计算机检索PubMed、web of science、PsycINFO、CINAHL、Embace、Cochrane Library、中国知网、中国生物医学文献数据库、万方及维普数据库,搜集关于居家安宁疗护患者或其家属使用移动医疗体验的质性研究,检索时限从建库至2021年6月。根据澳大利亚JBI循证卫生保健中心质性研究质量评价标准对文献进行质量评价,运用Meta整合方法对研究结果进行整合。结果共纳入11篇文献,提取37个研究发现,并归纳成11个类别和3个研究整合。整合结果一:移动医疗技术能给居家安宁疗护患者带来切实的益处;整合结果二:居家安宁疗护患者及家属使用移动医疗面临的挑战;整合结果三:居家安宁疗护患者及家属使用移动医疗的长期需求。结论移动医疗为居家安宁疗护的发展提供了新的思路,其效果受到多数居家安宁疗护患者的肯定,但未来研究应注意加强移动医疗设备及技术支持工作,并丰富功能内容及参与形式,探索居家远程安宁疗护干预模式,以进一步促进移动医疗的推广及应用。展开更多
Aim: The purpose of this research is to examine the relationship between the clinical nursing competence and nursing occupational experience in hospice/palliative care nurses (HPN) in Japan. Methods: A mail survey usi...Aim: The purpose of this research is to examine the relationship between the clinical nursing competence and nursing occupational experience in hospice/palliative care nurses (HPN) in Japan. Methods: A mail survey using an anonymous self-administered questionnaire was conducted on clinical nursing competence regarding communication, care and prediction of worsening of symptoms with the authors’ previous research as a framework. The subjects were nurses working in hospice/palliative care units in Japan, and the period of survey was January to February, 2014. Results: In this study, the relationship between the clinical nursing competence and nursing occupational experience of HPNs in hospice/palliative care which was clarified in the authors’ previous research was examined. The results showed that the amount of clinical nursing experience as a nurse was related to clinical nursing competence in the care of end-of-life patients and worsening of symptoms. The abundance of specialized nursing experience was also related to clinical nursing competence in communication in addition to care and prediction of worsening of symptoms. Training experience was also shown to be effective for hospice/palliative care. Conclusion: From these results, clinical nursing competence of HPNs in care of end-of-life patients and prediction of worsening of symptoms are possibly learned through the accumulation of clinical nursing experience as a nurse. However, HPN’s clinical nursing competence in communication was suggested to be developed through nursing practice in hospice/palliative care.展开更多
文摘背景社区干预是临终期肿瘤患者安宁疗护的重要组成部分,其在临终期肿瘤患者健康管理中的作用尚有待循证医学证据的支持。目的评价社区参与安宁疗护对临终期肿瘤患者的干预效果。方法于2022-05-22,采用Cochrane系统评价方法,以“社区”“医疗模式”“临终期肿瘤”等为检索词检索万方数据知识服务平台、中国知网、维普网,以“Community-based”“Model of Palliative Care”“Advanced Cancer”“Quality of Life”等为检索词检索Cochrane Library、PubMed、Web of Science,以获取和社区参与安宁疗护干预效果相关的文献,研究类型设定为随机对照试验(RCT),检索时限设定为2007-01-01至2022-05-10。对符合纳入标准的RCT进行质量评价,提取有效信息进行Meta分析。结果共纳入11项英文RCT(涉及患者2356例),9项中文RCT(涉及患者1238例)。Meta分析结果显示:与常规肿瘤护理相比,社区参与的安宁疗护能够改善临终期肿瘤患者的生活质量和症状严重程度,其可提高患者的慢性病支持治疗功能评价量表得分〔MD(95%CI)=3.77(0.83,6.71),P=0.01〕、癌症患者生命质量测定量表总分〔MD(95%CI)=12.53(2.36,22.69),P=0.02〕,降低患者的癌症治疗功能评价量表总分〔MD(95%CI)=-2.61(-3.53,-1.70),P<0.01〕、埃德蒙顿量表得分〔MD(95%CI)=-2.45(-4.70,-0.20),P=0.03〕。但是否能改善患者的抑郁症状、总体生存率存在争议,而对于入院率、住院天数/次数等经济学指标的作用有待进一步研究。结论社区参与的安宁疗护可以改善临终期肿瘤患者的生活质量和症状严重程度,但在改善抑郁、提高生存率、降低医疗成本方面的作用有待进一步研究。
文摘目的系统整合关于居家安宁疗护患者及其家属移动医疗体验的质性研究,为移动医疗在居家安宁疗护患者中的应用和发展提供循证依据。方法计算机检索PubMed、web of science、PsycINFO、CINAHL、Embace、Cochrane Library、中国知网、中国生物医学文献数据库、万方及维普数据库,搜集关于居家安宁疗护患者或其家属使用移动医疗体验的质性研究,检索时限从建库至2021年6月。根据澳大利亚JBI循证卫生保健中心质性研究质量评价标准对文献进行质量评价,运用Meta整合方法对研究结果进行整合。结果共纳入11篇文献,提取37个研究发现,并归纳成11个类别和3个研究整合。整合结果一:移动医疗技术能给居家安宁疗护患者带来切实的益处;整合结果二:居家安宁疗护患者及家属使用移动医疗面临的挑战;整合结果三:居家安宁疗护患者及家属使用移动医疗的长期需求。结论移动医疗为居家安宁疗护的发展提供了新的思路,其效果受到多数居家安宁疗护患者的肯定,但未来研究应注意加强移动医疗设备及技术支持工作,并丰富功能内容及参与形式,探索居家远程安宁疗护干预模式,以进一步促进移动医疗的推广及应用。
文摘Aim: The purpose of this research is to examine the relationship between the clinical nursing competence and nursing occupational experience in hospice/palliative care nurses (HPN) in Japan. Methods: A mail survey using an anonymous self-administered questionnaire was conducted on clinical nursing competence regarding communication, care and prediction of worsening of symptoms with the authors’ previous research as a framework. The subjects were nurses working in hospice/palliative care units in Japan, and the period of survey was January to February, 2014. Results: In this study, the relationship between the clinical nursing competence and nursing occupational experience of HPNs in hospice/palliative care which was clarified in the authors’ previous research was examined. The results showed that the amount of clinical nursing experience as a nurse was related to clinical nursing competence in the care of end-of-life patients and worsening of symptoms. The abundance of specialized nursing experience was also related to clinical nursing competence in communication in addition to care and prediction of worsening of symptoms. Training experience was also shown to be effective for hospice/palliative care. Conclusion: From these results, clinical nursing competence of HPNs in care of end-of-life patients and prediction of worsening of symptoms are possibly learned through the accumulation of clinical nursing experience as a nurse. However, HPN’s clinical nursing competence in communication was suggested to be developed through nursing practice in hospice/palliative care.
