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題名:老年緩和照護概念分析:Rodgers進化式循環分析法
書刊名:安寧療護
作者:李欣慈詹惠雅陳慶餘胡文郁
作者(外文):Lee, S. Hsin-tzuChan, Hui-yaChen, Ching-yuHu, Wen-yu
出版日期:2014
卷期:19:3
頁次:頁258-267
主題關鍵詞:老年緩和照護安寧照護支持性照護生命末期照護Rodgers'槪念分析法Geropalliative carePalliative careHospice careSupportive careEnd-of-life careRodgers' concept analysis
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本文運用Rodgers(2000)的進化式循環方法(evolutionary cycle method)針對「老年緩和照護」進行概念分析。透過EBSCOhost、Medline、CINAHL、PubMed、Social Servicesand Sociology、PsycInfo, CEPS以及CETD資料庫搜尋,最後篩選出共14篇文章進行分析。結果呈現「老年緩和照護」的定義性特徵包括:1.跨領域講求學科間合作且適用眾多不同的場所;2.注重病患自主權,融合人性與個別化的整合式照護;3.基於患者疾病和症狀需求,不受存活期限制;4.為一支持系統,視病患和家屬為一個照護單位,包括面對疾病持續至哀傷輔導;5.合併式治療以保護病人緩解症狀與促進舒適為導向;6.與病人、家屬及團隊人員間開放且有效的溝通;7.是一個動態且活躍的照護過程。此老年緩和概念分析的結果將可做為未來長期機構的住民接受老年緩和照護模式相關研究的參考。
Rodgers' evolutionary cycle method was used to do this concept of geropalliative care. After searching the EBSCOhost, Medline, CINAHL, PubMed, Social Services and Sociology, PsycInfo, Philosopher's Index, CEPS and CETD database, finally, fourteen studies were reviewed. Attributes of geropalliative care include: 1.interdisciplinary team approach and across all settings; 2.respect for the patients' right and combined with humanized and individualized care; 3.based on patients' needs without the disease process limitation; 4.a support system, both patients and family are the units of care, including facing the disease continually to the bereavement process; 5.an integrated treatment to relieve patients' symptoms and promote their comforts; 6.open and effective communication with patients, families and the team members; 7.an active and dynamic ongoing caregiving process. Results from this concept analysis of geropalliative care would be used as a reference for future studies on caring for older adults with palliative care in long-term facilities.
期刊論文
1.Pautex, S.、Curiale, V.、Pfisterer, M.、Rexach, L.、Ribbe, M.、Van Den Noortgate, N.(2010)。A common definition of geriatric palliative medicine。J Am Geriatr Soc,58(4),790-791。  new window
2.Bonebrake, D.、Culver, C.、Call, K.、Ward-Smith, P.(2010)。Clinically differentiating palliative care and hospice。Clinical Journal of Oncology Nursing,14(3),273-275。  new window
3.彭仁奎、邱泰源、陳慶餘(20060800)。老年緩和醫療簡介。安寧療護,11(3),273-284。new window  延伸查詢new window
4.Lee, S. M.、Coakley, E.E.(2011)。Geropalliative Care: A Concept Synthesis。J. Hosp. Palliat. Nurs.,13(4),242-248。  new window
5.Billings, J. A.(1998)。What is palliative care?。J Palliat Med,1(1),73-81。  new window
6.Boldt. M.、Yusuf, A. F.、Himelstein, B. P.(2006)。Perceptions of the term palliative care。J Palliat Med,9(5),1128-1136。  new window
7.許若嵐(20060800)。老年緩和醫療。慈濟醫學,18(4/5),41-45。  延伸查詢new window
8.Doyle, N.(2008)。Cancer survivorship: evolutionary concept analysis。J auv Nurs,62(4),499-509。  new window
9.Jeffrey, D.(1995)。Appropriate palliative care: when does it begin?。Eur J Cancer Care (Engl),4(3),122-126。  new window
10.Ashmedzai, S. H.、Costa, A.、Blengini, C.(2004)。A new international framework for palliative care。Eur J Cancer,40(15),2192-2200。  new window
11.Zimmermann, C.、Riechelmann, R.、Krzyzanowska, M.、Rodin, G.、Tannock, I.(2008)。Effectiveness of specialized palliative care: a systematic review。JAMA,299(14),1698-1709。  new window
12.Jiinger, T. P.、Ostgathe, C.、Eisner, F.、Radbruch, L.(2008)。A matter of definition-key elements identified in a discourse analysis of definitions of palliative care。Palliat Med,22,222-232。  new window
13.Cleary, J. F.、Carbone, P. P.(1997)。Palliative medicine in the elderly。Cancer,80,1335-1347。  new window
14.Christakis, N. A.、Lamont, E. B.(2000)。Extent and determinants of error in physicians' physicians' prognoses in terminally ill patients: prospective cohort study。BMJ,320,469-473。  new window
15.Noble, H.、Kelly, D.(2007)。A concept analysis of renal supportive care: the changing world of nephrology。J Adv Nurs,59(6),644-653。  new window
16.Pastrana, T.(2008)。A matter of definition-key elements identified in a discourse analysis of definitions of palliative care。Palliat Med,22(3),222-232。  new window
17.Meghani, S. H.(2004)。A concept analysis of palliative care in the United States。Journal of Advanced Nursing,46(2),152-161。  new window
圖書
1.Sinclair, J.(1992)。BBC Dictionary。London:Harpercollins Publishers。  new window
2.Allen, R. E.(1990)。The Concise Oxford Dictionary of Current English。London:Oxford University Publishers。  new window
其他
1.World Health Organization(2002)。WHO definition of palliative care,http://www.who.int/cancer/palliative/definition/en/。  new window
圖書論文
1.Rodgers, B. L.(2000)。Concept analysis: an evolutionary view。Concept Development in Nursing: Foundations, Techniques, and Applications。Philadelphia:W. B. Saunders。  new window
2.Abu-Saad, H. H.(2001)。Developments in palliative care。Evidence Based Palliatece Care Across the Life Span。Oxford:Blackwell Science。  new window
3.Davis, M. P.、Kuebler, K. K.(2007)。Palliative and end-of-life care perspectives。Palliative & End-of-Life Care: Clinical Practice Guidelines。Missouri:Saunders Elsevier。  new window
 
 
 
 
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