Background

Person-centred palliative healthcare is an important approach to maintaining and improving patients' quality of life living with a chronic non-communicable disease and their partners. Such an approach can reduce unnecessary hospitalisation, holistically address the patient and their partners' needs, and help develop an advance care plan.

Objectives

Assess, analyse, and synthesise the currently existing international guidelines for providing person-centred palliative care and identify the key components for providing a high-quality approach.

Methods

An umbrella review methodology of systematic reviews with the method of examination, analysis and synthesis of literature and the compilation method. Relevant systematic reviews of guidelines for providing person-centred palliative care in English, German and/or Slovenian language in PubMed, CINAHL, Web of Science and Cochrane Library databases, until November 2020.

Results

Out of 3,910 records, we included seven reviews for thematic synthesis. We identified four key elements of flourishing in person-centred palliative healthcare: (i) Healthcare staff prerequisites and traits; (ii) Palliative healthcare environment; (iii) Palliative healthcare processes; and (iv) Palliative healthcare outcomes.

Conclusions

We concluded that person-centred palliative healthcare plays an important role in the comprehensive treatment of patients living with a non-communicable disease accompanied by disturbing symptoms. Therefore, it is necessary to raise awareness amongst healthcare professionals and especially general practitioners about the possibilities of including patients with a non-communicable disease in early person-centred palliative healthcare.

Tweetable Abstract

#UmbrellaReview of components for providing #personcentredpalliative #healthcare. Components provide healthcare professionals and interdisciplinary #palliative teams with the steps on how to give #personcentredpalliative #healthcare to #patient and #support to #carepartners

中文翻译：

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提供以人为本的姑息治疗的组成部分：综合性综述

背景

以人为本的姑息治疗是维持和改善慢性非传染性疾病患者及其伴侣生活质量的重要途径。这种方法可以减少不必要的住院治疗，全面解决患者及其伴侣的需求，并有助于制定预先护理计划。

目标

评估、分析和综合当前提供以人为本的姑息治疗的国际指南，并确定提供高质量方法的关键组成部分。

方法

系统评价的综合评价方法，采用文献审查、分析和综合的方法和汇编方法。在 PubMed、CINAHL、Web of Science 和 Cochrane 图书馆数据库中以英语、德语和/或斯洛文尼亚语提供以人为本的姑息治疗指南的相关系统评价，直至 2020 年 11 月。

结果

在 3,910 条记录中，我们包括了 7 条主题综合评论。我们确定了以人为本的姑息治疗蓬勃发展的四个关键要素： (i) 医护人员的先决条件和特征；(ii) 姑息医疗环境；(iii) 姑息治疗过程；(iv) 姑息医疗结果。

结论

我们得出的结论是，以人为本的姑息治疗在对伴有令人不安症状的非传染性疾病患者的综合治疗中发挥着重要作用。因此，有必要提高医疗保健专业人员，尤其是全科医生对将非传染性疾病患者纳入早期以人为本的姑息医疗的可能性的认识。

可推文摘要

#UmbrellaReview 提供#personcentredpalliative #healthcare 的组件。组件为医疗保健专业人员和跨学科#palliative 团队提供了有关如何将#personcentredpalliative #healthcare 提供给#patient 并将#support 提供给#carepartners 的步骤