题名

影響生命末期兒童的父母緩和醫療決策的因素

DOI

10.6647/CN.23.04.08

作者

蕭淑方;梁嘉凌;江迎星;楊佰能

关键词

Pediatric ; Children ; hospice ; palliative ; end-of-life care ; parents ; decision making

期刊名称

彰化護理

卷期/出版年月

23卷4期(2016 / 12 / 01)

页次

55 - 66

内容语文

繁體中文

中文摘要

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」。

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. 衛生福利部國民健康署(2015,6月10日).取自http://www.hpa.gov.tw/BHPNet/Web/HealthTopic/TopicArticle.aspx?No=201312230003&parentid=200804090002
  2. WHO兒童緩和醫療的定義(2015,6月10日).取自 http://www.who.int/cancer/palliative/definition/en/#
  3. Abib El Halal, G. M.,Piva, J. P.,Lago, P. M.,El Halal, M. G.,Cabral, F. C.,Nilson, C.,Garcia, P. C.(2013).Parents' perspectives on the deaths of their children in two Brazilian paediatric intensive care units.Int J Palliat Nurs,19(10),495-502.
  4. 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.
  5. 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.
  6. 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.
  7. Liu, S. M.,Lin, H. R.,Lu, F. L.,Lee, T. Y.(2014).Taiwanese parents’ experience of making a "do not resuscitate" decision for their child in pediatric intensive care unit.Asian Nurs Res (Korean Soc Nurs Sci),8(1),29-35.
  8. Morris, A.(2009).Selective treatment of irreversibly impaired infants: decision-making at the threshold.Med Law Rev,17(3),347-376.
  9. Shields, L.,Zhou, H.,Pratt, J.,Taylor, M.,Hunter, J.,Pascoe, E.(2012).Family-centred care for hospitalised children aged 0-12 years.Cochrane Database Syst Rev,10
  10. Steele, R.,Derman, S.,Cadell, S.,Davies, B.,Siden, H.,Straatman, L.(2008).Families' transition to a Canadian paediatlic hospice. Part two: results of a pilot study.Int J Palliat Nurs,14(6),287-295.
  11. Steele, R.,Derman, S.,Cadell, S.,Davies, B.,Siden, H.,Straatman, L.(2008).Families’ transition to a Canadian paediatric hospice. Part one: planning a pilot study.Int J Palliat Nurs,14(5),248-256.
  12. Wood, F.,Simpson, S.,Barnes, E.,Hain, R.(2010).Disease trajectories and ACT/RCPCH categories in paediatric palliative care.Palliat Med,24(8),796-806.
  13. 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。
被引用次数
  1. 洪嘉玟(2020)。一位癌末學齡前期病童之安寧療護經驗。安寧療護雜誌,25(1),39-52。
  2. 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。