Community-Based Interventions in People with Palliative Care Needs: An Integrative Review of Studies from 2017 to 2022

Author:

Vélez-López Antonia12ORCID,Carmona-Torres Juan Manuel34ORCID,López-González Ángel56ORCID,Laredo-Aguilera José Alberto34ORCID,Callado-Pérez David7,Rabanales-Sotos Joseba56ORCID

Affiliation:

1. Primary Healthcare Local Office in Isso, 02420 Albacete, Spain

2. Escuela Internacional de Doctorado, University of Castilla-La Mancha, C/ Altagracia, 50, 13071 Ciudad Real, Spain

3. Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, Av de Carlos III s/n, 45004 Toledo, Spain

4. Multidisciplinary Research Group in Care (IMCU), University of Castilla-La Mancha, Campus de Fábrica de Armas, Av de Carlos III s/n, 45004 Toledo, Spain

5. Department of Nursing, Physiotherapy and Occupational Therapy, Facultad de Enfermería, University of Castilla-La Mancha, Campus Universitario s/n, 02071 Albacete, Spain

6. Group of Preventive Activities in the University of Health Sciences (GAP-CS), University of Castilla-La Mancha, University Campus s/n, 02071 Albacete, Spain

7. Complex Chronic Patient Service at Sant Joan de Déu Hospital, 08950 Barcelona, Spain

Abstract

Aim: To describe the latest scientific evidence regarding community-based interventions performed on patients in need of palliative care worldwide. Introduction and background: Given the rise of chronic diseases, their complexities and the fragility of patients, we are facing around 56.8 million people in need of palliative care. Community-based healthcare, particularly palliative care, can address social inequalities and improve the biopsychosocial health of disadvantaged populations. Therefore, primary care, as the main health referent in the community, has a central role in the care of these patients. Methods: This is an integrative review from January 2017 to June 2022 that follows the PRISMA statement and has been registered in PROSPERO. PubMed, Cuiden, the Web of Science (WoS), Cochrane and LILACS were the five databases searched. The scientific quality assessment of the articles was carried out following the CASPe methodology. Study selection was carried out by two researchers, A.V.L. and J.M.C.T., using the inclusion and exclusion criteria mentioned below. In cases of doubt or discrepancy, a third author (J.R.S.) was consulted. Results: The interventions mentioned in the 16 articles analysed were classified under the following categories: music therapy, laughter therapy, spiritual and cognitive interventions, aromatherapy, interdisciplinary and community-based teams, advance care planning and community, volunteering, telemedicine and care mapping. Example: Educating people to talk about different ethical issues could improve their quality of life and help develop more compassionate cities. Conclusions: We have identified interventions that are easily accessible (laughter therapy, telemedicine or music therapy), simple enough to be carried out at the community level and do not incur high costs. This is why they are recommended for people with palliative care needs in order to improve their quality of life.

Publisher

MDPI AG

Reference35 articles.

1. WHO (2024, July 15). Palliative Care. Available online: https://www.who.int/news-room/fact-sheets/detail/palliative-care.

2. Search for your 1%: Prevalence and mortality in a community cohort of people with advanced chronic disease and palliative needs;Blay;Atención Primaria,2019

3. Boudy, C.-A., Bouchez, T., Caprini, D., Pourrat, I., Munck, S., and Barbaroux, A. (2020). Home-based palliative care management: What are the useful resources for general practitioners? a qualitative study among GPs in France. BMC Fam. Pract., 21.

4. General Law of Health (2024, July 15). Organic Law 14/1986 (BOE 102 del 25-4-1986). Oficial State Gazette: Madrid. Available online: https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499.

5. (2024, July 15). Law 16/2003, of May 28, 2003, on Cohesion and Quality of the National Health System. Official State Gazette. Available online: https://www.boe.es/buscar/pdf/2003/BOE-A-2003-10715-consolidado.pdf.

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