A review of the scope of barriers factor to the implementation of advance care planning for critically ill and end-life patients in China
陈绪娜 1张立文 1乔敏 1梁海珍 1李冬利
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作者信息
1. 济宁医学院附属医院重症医学科，济宁 272000
折叠
摘要
目的 系统整合我国危重症与生命终末期患者实施预立医疗照护计划的障碍因素，为预立医疗照护计划在我国危重症与生命终末期患者中实施提供参考。 方法 检索中国知网、中国生物医学文献数据库、万方数据库、维普数据库、PubMed、Web of Science数据库中关于我国危重症与生命终末期患者预立医疗照护计划的文献，检索时限为建库至2023年1月15日。对符合纳排标准的文献进行分析。 结果 共纳入18篇文献，我国危重症与生命终末期患者预立医疗照护计划实施障碍因素包括社会文化因素（4种）、患者因素（4种）、家属因素（5种）、医护人员因素（8种）、人际交互因素（4种）、政策法律因素（2种）六大类（共27种）。 结论 预立医疗照护计划在我国危重症与生命终末期患者中的实施受多种障碍因素的影响，应针对可改变的障碍因素，制订改进措施，促进预立医疗照护计划在我国危重症与生命终末期患者中的应用。 Objective To explore the barrier factors in the implementation of advance care planning for critically ill and end-life patients in China. Provide reference for the implementation of advance care planning in critically ill and end-life patients in China. Methods The literature from CNKI, Chinese Biomedical Literature Database, Wanfang database, VIP, PubMed and Web of Science database on the implementation of advance care planning for critically ill and end-life patients in China were searched. The search deadline was from database establishment to January 15, 2023. To analyze the literature meeting the inclusion and exclusion criteria. Results A total of 18 literatures were included, and the barrier factors to the implementation of advance care planning for critically ill and end-life patients in China included six categories (27 types): social and cultural factors (4 types), patient factors (4 types), family factors (5 types), medical staff factors (8 types), interpersonal interaction factors (4 types), policy and legal factors (2 types). Conclusions The implementation of advance care planning for critically ill and end-life patients in China is affected by a variety of barrier factors. The improvement measures should be formulated according to the modifiable barrier factors to promote the implementation of advance medical care plan for critically ill and end-life patients in China.
Abstract
Objective To explore the barrier factors in the implementation of advance care planning for critically ill and end-life patients in China. Provide reference for the implementation of advance care planning in critically ill and end-life patients in China. Methods The literature from CNKI, Chinese Biomedical Literature Database, Wanfang database, VIP, PubMed and Web of Science database on the implementation of advance care planning for critically ill and end-life patients in China were searched. The search deadline was from database establishment to January 15, 2023. To analyze the literature meeting the inclusion and exclusion criteria. Results A total of 18 literatures were included, and the barrier factors to the implementation of advance care planning for critically ill and end-life patients in China included six categories (27 types): social and cultural factors (4 types), patient factors (4 types), family factors (5 types), medical staff factors (8 types), interpersonal interaction factors (4 types), policy and legal factors (2 types). Conclusions The implementation of advance care planning for critically ill and end-life patients in China is affected by a variety of barrier factors. The improvement measures should be formulated according to the modifiable barrier factors to promote the implementation of advance medical care plan for critically ill and end-life patients in China.
关键词
预立医疗/危重症/生命终末期/障碍因素/范围综述
Key words
Advance care planning/Critical illness/The end of life/Barriers factor/Review
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