首页|老年人对善终认知质性研究的Meta整合

老年人对善终认知质性研究的Meta整合

扫码查看
目的 系统评价和整合老年人对善终认知的质性研究,为医护人员实施符合老年人意愿的善终关怀服务提供参考.方法 计算机检索中英文数据库从建库至2023年11月收录的关于老年人对善终或优逝认识与 了解的质性研究.运用JBI循证卫生保健中心质性研究质量评价标准对纳入文献质量进行评价.采用汇集性整合方法进行结果整合.结果 共纳入11篇文献,提炼出37个研究结果,归纳成8个新的类别,综合成3个整合结果:躯体层面(避免成为负担、保持独立自理,放弃无效救治、希望无痛离世,体面离世、缩短濒死过程);精神层面(朋友支持、家人陪伴,寻找精神慰藉、传承优良品质,克服负面情绪、自然平静死亡);社会层面(奉献社会、珍爱生命,完成人生使命、妥善处理后事).结论 老年人在晚年渴望能够实现善终,家庭成员和医护人员是该过程顺利实施的关键人员,建议医护人员全面了解老年人对善终的认知及理解,帮助其实现善终.
Qualitative research on the perceptions of good death among the elderly:a Meta-syn-thesis
0bjective To comprehensively review and synthesize qualitative research on the perceptions of hospice care among the elderly and to provide reference for medical staff to implement good end-of-life care services in line with the wishes of the elderly.Methods Qualitative studies exploring elderly individuals'perspectives on a peaceful death were systematically gathered through computerized search in various databases up to November 2023.The quality of the selected literature was assessed using JBI's cri-teria,and an aggregative integration approach was employed for data synthesis.Results The analysis included 11 articles yielding 37 research findings,which were categorized into 8 categories and further integrated into 3 overarching results:physical level(avoi-ding becoming a burden,maintaining independent self-care,giving up ineffective treatment,hoping for painless death,hoping for decent death,and shortening the dying process);spiritual level(friend support,family company,looking for spiritual comfort,passing down good qualities,overcoming negative emotions,and natural calm death);social level(contributing to society,cheris-hing the life,completing life mission,and properly handling future affairs).Conclusion The elderly are eager to achieve a good death in their later years,and family members and medical staff are the key persons in smooth implementation of this process.It is suggested that medical staff fully understand their cognition and understanding of good death and help them achieve the purpose.

the elderlygood deathgood endingend-of-life carecognitionqualitative researchMeta-synthesis

冯挽、田素斋、张珠珠、高梦颖、赵秀君

展开 >

河北医科大学第二医院养老中心筹建办公室(河北 石家庄,050004)

河北省人民医院肾脏内科血液透析室

老年人 善终 优逝 善终关怀 临终关怀 认知 质性研究 Meta整合

河北省省级科技计划

22557730K

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(12)
  • 4