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首页> 外文期刊>Western journal of nursing research >End-of-Life Decision Support in the ICU: Where Are We Now?
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End-of-Life Decision Support in the ICU: Where Are We Now?

机译：ICU中生命终端决策支持：我们现在在哪里？

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摘要

Determining effective decision support strategies that enhance quality of end-of-life decision making in the intensive care unit is a research priority. This systematic review identified interventional studies describing the effectiveness of decision support interventions administered to critically ill patients or their surrogate decision makers. We conducted a systematic literature search using PubMed, CINAHL, and Cochrane. Our search returned 121 articles, 22 of which met the inclusion criteria. The search generated studies with significant heterogeneity in the types of interventions evaluated and varied patient and surrogate decision-maker outcomes, which limited the comparability of the studies. Few studies demonstrated significant improvements in the primary outcomes. In conclusion, there is limited evidence on the effectiveness of end-of-life decision support for critically ill patients and their surrogate decision makers. Additional research is needed to develop and evaluate innovative decision support interventions for end-of-life decision making in the intensive care unit.
机译：确定有效的决策支持策略以提高重症监护病房临终决策的质量是一个研究重点。本系统综述确定了描述对危重患者或其替代决策者实施决策支持干预有效性的干预研究。我们使用PubMed、CINAHL和Cochrane进行了系统的文献检索。我们的搜索返回了121篇文章，其中22篇符合入选标准。搜索产生的研究在所评估的干预类型上具有显著的异质性，患者和替代决策者的结果也不同，这限制了研究的可比性。很少有研究表明主要结果有显著改善。总之，对于危重病人及其替代决策者的临终决策支持的有效性，证据有限。需要进行更多研究，以制定和评估重症监护病房临终决策的创新决策支持干预措施。

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