医务人员对丧亲家属丧亲支持的最佳证据总结

Healthcare professionals′support for bereaved family members:a summary of best evidence

目的总结医务人员对丧亲家属丧亲支持的最佳证据,为临床医务人员对丧亲家属开展丧亲支持服务提供参考。方法按照“6S”证据金字塔模型,系统检索国内外相关数据库中关于医务人员对丧亲家属丧亲支持的临床决策、指南、证据总结、系统评价、专家共识、随机对照试验,检索时限为建库至2023年6月30日,由2名研究人员选取符合纳入标准的文献,对文献质量进行评价,根据主题提取和汇总证据。结果共纳入13篇文献,包括1篇指南、6篇系统评价、3篇专家共识、3篇随机对照试验。从丧亲支持团队要求、丧亲支持原则、丧亲支持评估、通用丧亲支持策略、专业丧亲支持策略5个方面总结形成25条最佳证据。结论总结的医务人员对丧亲家属提供丧亲支持的最佳证据内容较全面,可为临床开展高质量的丧亲支持提供循证依据。

Objective To summarize the best evidence of healthcare professionals′support for bereaved family members,thereby providing clinical healthcare professionals with references for offering bereavement support services.Methods Following the"6S"model of the evidence hierarchy,domestic and international databases for clinical decisions,guidelines,evidence summaries,systematic reviews,expert consensus,and randomized controlled trials on healthcare professionals′support for bereaved family members were systematically searched.The search covered literature published up to June 30,2023.Two researchers selected studies that met the inclusion criteria,evaluated the quality of the literature,and synthesized the evidence based on themes.Results A total of 13 articles were included:1 guideline,6 systematic reviews,3 expert consensus statements,and 3 randomized controlled trials.By integrating professional judgment,evidence was summarized in five areas:requirements of bereavement support teams,principles of bereavement support,assessment of bereavement support,general bereavement support strategies,and specia-lized bereavement support strategies,forming 25 pieces of best evidence.Conclusion The summarized best evidence on bereavement support provided by healthcare professionals to bereaved families is comprehensive,and can offer an evidence-based foundation for implementing high-quality bereavement support.