终末期病人及家属参与安宁疗护共享决策体验的Meta整合

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Experience of end-stage patients and their families participating in shared decision-making for hospice care：a Meta-integration

ZHANG Qian，LU Yulin，LU Yan，CAO Mingrui，WANG Xiaoqin，SHI ShuyuSchool of Nursing，Kunming Medical University，Yunnan 650500 ChinaCorresponding Author LU Yulin，E-mail：653587668@qq.com

Abstract Objective：To systematically evaluate the qualitative study of end-stage patients and their families participating in shared decision making in hospice care，and to provide evidence-based evidence for the application of shared decision making in hospice patients.Methods：Relevant qualitative studies were retrieved from PubMed，Web of Science，the Cochrane Library，CNKI，VIP，WanFang Database，etc.The retrieval time was from the establishment of each database to May 2023.The included literature was evaluated according to the Joanna Briggs Institute（JBI） qualitative research quality evaluation criteria，and the results were integrated using a pooled integration method.Results：A total of 7 articles were included，and 28 research results were extracted and summarized into 8 categories.It is further integrated into three major themes，including the prerequisite for sharing decision-making between terminal patients and their families，the influencing factors for sharing decision-making between terminal patients and their families，and the troubling factors for sharing decision-making between terminal patients and their families.Conclusion：In the future，we should promote the implementation of shared decision making in hospice care from many aspects，such as patient autonomy，doctor-patient relationship，intermediary role，ACP and psychological support.

Keywords palliative care;shared decision-making;end stage;Meta-integration;evidence-based nursing;qualitative research

摘要 目的：系统评价终末期病人及家属参与安宁疗护共享决策体验的质性研究，为共享决策在安宁疗护病人中的应用提供循证依据。（剩余10443字）