Results
Title

居家安宁疗护服务研究的概括性评价.

Authors

陈蜀惠; 来小彬; 陈利群; 夏海鸥

Abstract

Objective: To review the studies on the home-based end-of-life care both at home and aboard, in order to shine a light on the future development of the home-based end-of-life care in China. Methods: Literatures on home-based end-of-life care were searched in PubMed, Web of science, CINAHL, Scopus, OVID, PubMed, Sino-Med, CNKI, Wanfang data and VIP databases from January 2009 to July 2019 using summary evaluation. The literatures on home-based end-of-life care were included, and the structure, process, and outcome of services were described and summarized using the Donabedian evaluation framework. Results: A total of 92 articles including 58 end-of-life care programs in foreign countries and 25 end-of-life care programs in China were reviewed. Patients in most Chinese end-of-life care programs were cancer patients, while service objects in foreign countries were more diversified. Doctors and nurses were the main care providers. The multidisciplinary team of the end-of-life care in China still need to develop. Home visits and telephone follow-ups were the most common service form. The frequency of the service in foreign countries was higher than that in China. The frequency of nurse visits were higher than that of doctor visits. The knowledge education of end-of-life care and death education were the characteristics of domestic service. Domestic literatures mostly focused on outcomes of patients, while foreign literatures focused on the outcomes related to medical resources. Conclusion: The domestic home-based end-of-life care could appropriately expand the scope of admission, build the multidisciplinary service team, give full play to the important role of nurses, increase the service frequency, and add the indicators related to the medical service system in the service evaluation.

Subjects

CHINA; OCCUPATIONAL roles; TERMINAL care; HOME care services; SYSTEMATIC reviews; QUALITY assurance; NURSES; EVIDENCE-based nursing

Publication

Chinese Nursing Research, 2021, Vol 35, Issue 17, p3048

ISSN

1009-6493

Publication type

Academic Journal

DOI

10.12102/j.issn.1009-6493.2021.17.008