临终患者死亡质量干预措施的RCT研究综述  

A Review of Randomized Controlled Trial Studies on Quality of Death Intervention Measures for Dying Patients

作　　者：张慧[1] 屈燕花 张雨 魏丹 邹海欧[1] ZHANG Hui;QU Yan-hua;ZHANG Yu(Department of Nursing,Peking Union Medical College,Beijing 100144,China)

机构地区：[1]北京协和医学院护理学院,北京100144

出　　处：《医学与哲学》2021年第7期43-47,共5页Medicine and Philosophy

基　　金：2020年北京协和医学院校级本科教育教学改革项目(2020zlgc0129)。

摘　　要：通过了解国内外不同干预措施对临终患者死亡质量的干预效果,找寻适合国内的干预措施,从而提高临终患者的死亡质量。计算机检索PubMed、Web of Science、Cochrane Library三个英文数据库,以及中国知网、维普、万方、中国生物医学四个中文数据库中死亡质量的随机对照试验。对最终纳入的10篇随机对照试验研究进行了系统综述,其涉及的干预措施可以总结为安宁疗护的改进和干预、医患之间的交流和反馈、预先护理计划和教育三个方面。结果发现虽然部分干预措施没有明显地提高临终患者死亡质量,但整体上三个方面的干预措施效果较好,对国内有着一定的借鉴意义。By understanding the intervention effects of different intervention measures at home and abroad on the quality of death of dying patients,to find suitable domestic intervention measures,so as to improve the quality of death of dying patients.The computer searched randomized controlled trial(RCT)of quality of death in PubMed,Web of Science,Cochrane Library three English databases and China Knowledge Net,VIP,Wanfang,Chinese Biomedical four Chinese databases.10 RCT studies were selected to systematically reviewed,and the interventions involved can be summarized as three aspects:improvement and intervention of hospice care,communication and feedback between doctors and patients,pre-care plan and education.The results showed that although some of the intervention measures did not significantly improve the quality of death of dying patients,three aspects of intervention measures presented positive effect overall,which had certain significance for the domestic study.

关 键 词：临终患者 死亡质量 随机对照试验 

分 类 号：R-05[医药卫生]