成人安宁疗护共同照护管理的证据总结

Evidence summary for shared-care management of adult hospice care

目的:提取并汇总成人安宁疗护共同照护管理的相关证据,为我国医护人员开展生命终末期患者安宁疗护共同照护提供循证支持。方法:系统检索中英文数据库或网站中关于成人安宁疗护共同照护管理的所有证据,检索时限为建库至2023年11月。由研究者进行文献质量评价、证据审校与提取,并经循证研究小组讨论后整合证据。结果:共纳入14篇文献,其中临床决策3篇、指南6篇、专家共识1篇、类实验研究4篇。从团队组成、适用对象、服务流程、服务内容、启动时机及照护期限、注意事项、效果评价、质量控制8个方面汇总25条证据。结论:临床医护人员应用本研究汇总的成人安宁疗护共同照护管理证据时,应结合我国文化背景,进行本土化调适并关注证据的更新,以为患者提供标准且规范的安宁疗护共同照护服务。

Objective:To extract and summarize the evidence related to hospice shared-care management in adults,and provide an evidence-based support for healthcare professionals in the development of hospice shared-care for end-of-life patients.Methods:We systematically searched Chinese and English databases to collect all evidences about the hospice shared-care management in adults,the search time was limited from the establishment of the databases to November,2023.Researchers assessed the quality of the literature,reviewed and extracted the evidence,and integrated the evidence after discussion by the evidence-based research group.Results:Totally 14 articles were involved,including 3 clinical decisions,6 guidelines,1 expert consensus and 4 quasi-experimental studies.Finally,25 pieces of evidence have been obtained from 8 aspects,including the team composition,applicable population,service process,service contents,timing of initiation and duration of care,precautions,evaluation of effectiveness,quality control.Conclusion:When applying the evidence,clinical healthcare professionals should take into account the cultural context,make localized adaptations and pay attention to the updating of the evidence,in order to provide patients with standardized and regulated hospice shared-care services.