以病人和家庭为中心的照护在成人ICU应用的障碍因素的范围综述

Scoping review of barriers in patient⁃and family⁃centered care applied in the adult ICU

目的:系统整合“以病人和家庭为中心的照护”在成人重症监护病房(ICU)中应用的障碍因素。方法:系统检索PubMed、The CochraneLibrary、WebofScience、EMbase、CINAHL、Scopus、中国知网、万方数据库、维普、中国生物医学文献数据库(SinoMed),对符合纳入标准的文献进行分析。结果:共纳入15篇研究,障碍因素包括医护人员因素(5种)、家庭因素(10种)、组织因素(6种)以及病人因素(7种)四大类(28种)。结论“:以病人和家庭为中心的照护”受多种障碍因素的影响,应针对可改变阻碍因素制订改进策略,促进该措施在成人ICU中的应用。

Objective:To systematically integrate barriers in applying"patient and family⁃centered care"in the adult intensive care unit(ICU).Methods:Relative literature that met the inclusion criteria was retrieved and analyzed from PubMed,The Cochrane Library,Web of Science,EMbase,CINAHL,Scopus,CNKI,Wanfang Database,VIP,and Sinomed database.Results:A total of 15 studies were included.The obstacle factors included 4 categories(28 types):medical staff factors(5 types),family factors(10 types),organizational factors(6 types),and patient factors(7 types).Conclusions:"Patient⁃and family⁃centered care"was affected by various barriers.The improvement strategies should be developed based on the modifiable barriers to promote the application of this measure in adult ICU.