安宁疗护家庭会议临床实践的系统综述

目的 系统总结安宁疗护家庭会议临床实践的经验,为召开家庭会议和改进会议质量提供参考.方法 运用计算机检索Web of Science、PubMed、The Cochrane Library、OVID、VIP、Sinomed、CNKI和万方数据库,检索从建库至2019年10月1日中英文文献,归纳安宁疗护家庭会议的准备过程...

Assessment of the Clinical Practices of Palliative Care Family Meetings:a Systematic Review

Objective To provide direction for holding family meeting and quality improvement by systematically summarizing the clinical practices of palliative care family meeting.Methods We searched biomedical related databases of Web of Science,PubMed,The Cochrane Library,OVID,VIP,Wanfang Databases,Sinomed,and CNKI.All peer-reviewed literature in Chinese or English were identified from their inception to October 1st,2019.Potential bias of the included studies were evaluated and the process,content and influencing factors of the quality of palliative care family meeting were summarized.Results A total of 19 articles were included,17 in English and 2 in Chinese.According to the procedure of the palliative care family meeting,the paper described the personnel preparation,timing,three kinds of family meeting procedures,as well as the factors such as personnel composition,communication skills and meeting progress that promoting and hindering the meeting effect and the deficiencies in content and budget of palliative care family meeting.Conclusion The personnel preparation,procedure,preparations before the mee-ting,implementations after the meeting and the influencing factors of the family meeting effect are highly referential for the training of workers and the convening of family meetings.The timing of the meeting varies greatly,the cost of time and human resources are not taken enough consideration,and the themes of spiritual care and end-of-life discussion are scarce.In the future,more research on these aspects are needed.