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影響生命末期兒童的父母緩和醫療決策的因素

摘要


本研究為兒童生命末期,影響父母緩和醫療決策因素之質性實證研究:目的在了解影響父母決策的複雜因素,有助於醫療人員與父母之間的溝通,使兒童緩和醫療能夠早期介入,避免父母因憂鬱、壓力做出負面的決策,造成遺憾的結果。以PICo形成問題關鍵宇:pediatric、Children、hospice、palliative、end-of-life care、parents、decision making,搜尋在2006至2016年間PubMed、MEDLINE、CINAHL、ERIC、Science Direct (SDOL)等資料庫文獻,以Adapted from Polit and Beck在2006年發展的critical appraisal checklist qualitative research評讀文獻證據等級後,搜集四篇文獻中的主題(Theme)概念,審查結果有17個主題,經主題分析,歸納整理出兒童生命末期父母對緩和醫療決策的三個主題(Theme),影響因素包括「溝通」、「面對生死的態度」及「信仰的影響」。

參考文獻


許維邦、張瑞月、呂美君、周明智、蕭培靜(2015)·共同決策於臨床醫學之應用,澄清醫護管理雜誌,11(2),24-29。[Shared Decision Making in Clinical Practice].
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Carroll, K. W., Mollen, C. J., Aldridge, S., Hexem, K. R., & Feudtner, C. (2012). Influences on Decision Making Identified by Parents of Children Receiving Pediatric Palliative Care. AJOB Prim Res, 3(1), 1-7.
Davies, B., Sehring, S. A., Partridge, J. C., Cooper, B. A., Hughes, A., Philp, J. C., . . . Kramer, R. F. (2008). Barriers to palliative care for children: perceptions of pediatric health care providers. Pediatrics, 121(2), 282-288.
Hexem, K. R., Mollen, C. J., Carroll, K., Lanctot, D. A., & Feudtner, C. (2011). How parents of children receiving pediatric palliative care use religion, spirituality, or life philosophy in tough times. J Palliat Med, 14(1), 39-44.

被引用紀錄


謝春美、劉千琪、張彩秀(2022)。重症病童家屬簽署不施行心肺復甦術之相關因素探討榮總護理39(3),245-255。https://doi.org/10.6142/VGHN.202209_39(3).0003

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