背景:许多晚期癌症患者认为家是他们首选的死亡地点。实现家庭死亡的一个关键组成部分是家庭成员的支持,他们经常承担他们觉得准备不足的责任,随后对他们的健康和福祉产生影响。
目的:本研究旨在回顾现有的关于家庭护理者为晚期癌症患者提供居家临终关怀的经验的定性文献。重点是探索影响他们为自己的角色做好准备的因素。
方法:选择叙述性综述来提供定性发现的概述和分析。MEDLINE,PubMed,心理信息,和EMBASE数据库使用以下搜索词进行搜索:“癌症,\"\"照顾者,\"\"生命结束护理,\"\"家,“和”定性。“纳入标准如下:英语,实证研究,成人看护者,以及2011年至2021年之间发表的文章。数据被抽象,和研究质量评估使用关键评估技能计划清单进行定性研究。
结果:共纳入14篇相关文章。确定了三个总体主题,这些主题反映了影响家庭对其角色的准备程度的因素:“提供护理的动机,与医疗保健专业人员的互动,“和”在关怀过程中的变化。
结论:家庭护理人员在为晚期癌症患者提供居家临终关怀方面的作用是显而易见的。卫生保健工作者需要更有效地查明家庭的信息和支助需求,并利用已经出现的基于证据的策略来满足这些需求。
BACKGROUND: Many patients with advanced cancer identify home as being their preferred place of death. A critical component in achieving a home death is the support of family members, who often take on responsibilities for which they feel insufficiently prepared with subsequent impacts upon their health and well-being.
OBJECTIVE: This study sought to
review existing qualitative literature on family carers\' experiences in providing end-of-life care at home for patients with advanced cancer, with an emphasis on exploring factors that influence how prepared they feel for their role.
METHODS: A narrative
review was chosen to provide an overview and analysis of qualitative findings. MEDLINE, PubMed, PsychINFO, and EMBASE databases were searched with the following search terms: \"Cancer,\" \"Caregiver,\" \"End of Life Care,\" \"Home,\" and \"Qualitative.\" Inclusion criteria were as follows: English language, empirical studies, adult carers, and articles published between 2011 and 2021. Data were abstracted, and study quality was assessed using the Critical Appraisal Skills Programme checklist for qualitative research.
RESULTS: Fourteen relevant articles were included. Three overarching themes reflecting the factors influencing family preparedness for their role were identified: \"motivations for providing care,\" \"interactions with health-care professionals,\" and \"changes during the caring process.\"
CONCLUSIONS: Inadequate preparation of family carers is apparent with regard to their role in providing end-of-life care at home for patients with advanced cancer. There is a need for health-care workers to more effectively identify the information and support needs of families, and utilize evidence-based strategies that have emerged to address these needs.