PDF(Pubmed)
Abstract：
UNASSIGNED: Geriatric and chronic disease patients and families consider the nature, time, and place of death because issues related to the end of life are rarely discussed. This study assessed the end of life decisions and preferences among geriatric and chronic disease patients.
UNASSIGNED: There was an in-depth search in five electronic databases (PubMed Central, CINAHL, Embase, Web of Science, and Scopus) using the population, concept, and context, framework. A matrix was developed, discussed, accepted, and used for data extraction. Convergent synthesis and thematic data analysis technique were adopted for the analysis. The reporting of findings was done in accordance with the JBI and PRISMA guidelines for reviews.
UNASSIGNED: From the data analysis, home-based end of life care was intuitive and included home visits, telephone follow-up, and patient-initiated services. The key themes that emerged from our analysis that sought to influence end end of life decisions were 1) approach to home-based end of life care, 2) patient and family characteristics, 3) clinical characteristics of the patient, 4) health care provider factors, 5) satisfaction and care rendered to the patient and family, 6) family preference of the place of death, 7) collaboration between multidisciplinary teams of care, and 8) challenges associated with the home-based end of life care. The personal characteristics of the nurse (age, personal and work experience, nursing perspective, and competence) and conducting a home visit influenced patient and family end of life decision. Multidisciplinary care teams (nurses and palliative care specialists) were important in delivering effective end-of-life services.
UNASSIGNED: To support patients in making informed decisions, they must be educated on expected outcomes and implications, adverse impacts of decisions, and the emotional influence on the bereaved family. It is important that divergent technological methods are leveraged to provide essential care to patients nearing the end of life at home. Advancing the quality of end of life care techniques through home visiting will improve the feeling of patients and families about the dying process.
UNASSIGNED: End-of-life preferences warrants that, divergent technological methods are leveraged to provide care to patients nearing the end of life.
UNASSIGNED: There was an in-depth search in five electronic databases (PubMed Central, CINAHL, Embase, Web of Science, and Scopus) using the population, concept, and context, framework. A matrix was developed, discussed, accepted, and used for data extraction. Convergent synthesis and thematic data analysis technique were adopted for the analysis. The reporting of findings was done in accordance with the JBI and PRISMA guidelines for reviews.
UNASSIGNED: From the data analysis, home-based end of life care was intuitive and included home visits, telephone follow-up, and patient-initiated services. The key themes that emerged from our analysis that sought to influence end end of life decisions were 1) approach to home-based end of life care, 2) patient and family characteristics, 3) clinical characteristics of the patient, 4) health care provider factors, 5) satisfaction and care rendered to the patient and family, 6) family preference of the place of death, 7) collaboration between multidisciplinary teams of care, and 8) challenges associated with the home-based end of life care. The personal characteristics of the nurse (age, personal and work experience, nursing perspective, and competence) and conducting a home visit influenced patient and family end of life decision. Multidisciplinary care teams (nurses and palliative care specialists) were important in delivering effective end-of-life services.
UNASSIGNED: To support patients in making informed decisions, they must be educated on expected outcomes and implications, adverse impacts of decisions, and the emotional influence on the bereaved family. It is important that divergent technological methods are leveraged to provide essential care to patients nearing the end of life at home. Advancing the quality of end of life care techniques through home visiting will improve the feeling of patients and families about the dying process.
UNASSIGNED: End-of-life preferences warrants that, divergent technological methods are leveraged to provide care to patients nearing the end of life.
摘要：
■老年和慢性病患者和家庭考虑的性质，时间,和死亡地点，因为与生命终结有关的问题很少被讨论。这项研究评估了老年和慢性病患者的生命决定和偏好。
■在五个电子数据库中进行了深入搜索（PubMedCentral，CINAHL,Embase,WebofScience,和Scopus)使用人口，概念,和上下文，框架。开发了一个矩阵，讨论,接受,并用于数据提取。采用收敛综合和专题数据分析技术进行分析。根据JBI和PRISMA审查指南报告调查结果。
■从数据分析来看，基于家庭的临终关怀是直观的，包括家访，电话跟进,和患者发起的服务。从我们的分析中出现的旨在影响生命终结决策的关键主题是1）基于家庭的生命终结护理方法，2）患者和家庭特征，3)患者的临床特点,4)医疗保健提供者因素，5)患者和家属的满意度和护理，6）家庭对死亡地点的偏好，7）多学科护理团队之间的合作，和8)与家庭生活护理相关的挑战。护士的个人特征(年龄，个人和工作经验，护理视角，和能力），并进行家庭访问影响了患者和家庭的生命决定。多学科护理团队（护士和姑息治疗专家）在提供有效的临终服务方面很重要。
■为了支持患者做出明智的决定，他们必须接受预期结果和影响的教育，决策的不利影响，以及对失去亲人的家庭的情感影响。重要的是，要利用不同的技术方法为即将在家中生活的患者提供基本护理。通过家庭访问提高临终护理技术的质量将改善患者和家属对死亡过程的感觉。
■报废偏好保证，不同的技术方法被用来为接近生命终点的患者提供护理。
■在五个电子数据库中进行了深入搜索（PubMedCentral，CINAHL,Embase,WebofScience,和Scopus)使用人口，概念,和上下文，框架。开发了一个矩阵，讨论,接受,并用于数据提取。采用收敛综合和专题数据分析技术进行分析。根据JBI和PRISMA审查指南报告调查结果。
■从数据分析来看，基于家庭的临终关怀是直观的，包括家访，电话跟进,和患者发起的服务。从我们的分析中出现的旨在影响生命终结决策的关键主题是1）基于家庭的生命终结护理方法，2）患者和家庭特征，3)患者的临床特点,4)医疗保健提供者因素，5)患者和家属的满意度和护理，6）家庭对死亡地点的偏好，7）多学科护理团队之间的合作，和8)与家庭生活护理相关的挑战。护士的个人特征(年龄，个人和工作经验，护理视角，和能力），并进行家庭访问影响了患者和家庭的生命决定。多学科护理团队（护士和姑息治疗专家）在提供有效的临终服务方面很重要。
■为了支持患者做出明智的决定，他们必须接受预期结果和影响的教育，决策的不利影响，以及对失去亲人的家庭的情感影响。重要的是，要利用不同的技术方法为即将在家中生活的患者提供基本护理。通过家庭访问提高临终护理技术的质量将改善患者和家属对死亡过程的感觉。
■报废偏好保证，不同的技术方法被用来为接近生命终点的患者提供护理。
