fa تفسیر مفهوم مراقبت تسکینی، ﻣﻮاﻧﻊ و ﺗﺴﻬﯿﻞ کننده های آن ﺑﺎ اﺳﺘﻔﺎده ازرویکرد فرا ترکیب(متاسنتز) General پژوهشي Research Article <div style="text-align: justify;">زﻣﯿﻨﻪو ﻫﺪف:ﻣﻔﻬﻮم ﻣﺮاﻗﺒﺖ تسکینی،یکی از ﻣﻬﻤﺘﺮیﻦ ﻣﻔﺎﻫﯿﻢ در پرﺳﺘﺎری میﺑﺎﺷﺪ.ﻫﺪف ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ،ﺗﻔﺴﯿﺮﻣﻔﻬﻮم ﻣﺮاﻗﺒﺖ تسکینی، ﻣﻮاﻧﻊ و ﺗﺴﻬﯿﻞکننده ﻫﺎی آن ﺑﺎ اﺳﺘﻔﺎده از رویکرد ﻓﺮاﺗﺮکیب ﺑﻮده اﺳﺖ..<br> روشﺗﺤﻘﯿﻖ:در ایﻦ ﻣﻄﺎﻟﻌﻪﻓﺮاترکیب(متاسنتز) که ﺑﻪﺻﻮرت ﻧﻈﺎمﻣﻨﺪ اﻧﺠﺎم ﺷﺪ، ﻣﻄﺎﻟﻌﺎت کیفری ﻣﻨﺘﺸﺮﺷﺪه در زﻣﯿﻨﻪ ﻣﺮاﻗﺒﺖ تسکینب طی ﺳﺎلﻫﺎی 2002-2012 ﻣﯿﻼدی در پایگاه های اﻃﻼﻋﺎتی Ovid،MedlineوElsevier اﻧﺘﺨﺎب ﺷﺪﻧﺪ.ﺑﺮای ﺳﻬﻮﻟﺖ ﺟﺴﺘﺠﻮ،از واژهﻫﺎی&laquo;Palliative care&raquo; و &laquo;Qualitative research&raquo;اﺳﺘﻔﺎده ﺷﺪ. در ﻣﺮﺣﻠﻪ ﺑﻌﺪ، ﺑﺎ ﻣﺮور ﻣﺘﻦ کامل ﻣﻘﺎﻻت، مقالاتی که ﺑﻪﻃﻮر دﻗﯿﻖ ﻣﻔﻬﻮم ﻣﺮاﻗﺒﺖ تسکینی و ﻋﻮاﻣﻞ ﻣﺮﺗﺒﻂ ﺑﺎ آن را ﻣﻮرد ﺑﺮرسی ﻗﺮار ﻣیدادﻧﺪ و ﺑﻪ زﺑﺎن انگلیسی ﻣﻨﺘﺸﺮ ﺷﺪه ﺑﻮدﻧﺪ، اﻧﺘﺨﺎب و ﺑﺎ یکدیگر ﻣﻘﺎیﺴﻪ ﺷﺪﻧﺪ. ﺗﻌﺪاد553ﻣﻘﺎﻟﻪ کیفری در ارﺗﺒﺎط ﺑﺎﻣﻔﻬﻮم ﻣﺮاﻗﺒﺖ تسکینی یﺎﻓﺖ ﺷﺪ که از ایﻦ ﺗﻌﺪاد، 44ﻣﻄﺎﻟﻌﻪ ﺑﻪﻃﻮر ﻣﺴﺘﻘﯿﻢ در ارﺗﺒﺎط ﺑﺎ ﻣﻮﺿﻮع پژوﻫﺶ و ﺷﺎﻣﻞ 22 ﻣﻄﺎﻟﻌﻪ ﻣﺮﺑﻮط ﺑﻪMedline، ﺳﻪﻣﻄﺎﻟﻌﻪ ﻣﺮﺑﻮط ﺑﻪ Elsevier و 19 ﻣﻄﺎﻟﻌﻪ ﻣﺮﺑﻮط ﺑﻪOvid ﺑﻮدﻧﺪ.در کل،از ﻣﯿﺎن ﻣﻘﺎﻻتیﺎﻓﺖﺷﺪه، ﺗﻌﺪاد 16 ﻣﻘﺎﻟﻪ ﺗﻤﺎم ﻣﺘﻦ اﻧﺘﺨﺎب گردید و ﺑﺎ رویکرد ﺗﻔﺴﯿﺮی، ﻣﻮرد بررسی ﻗﺮار گرﻓﺖ. دادهﻫﺎ ﺑﻪ ﺷﯿﻮه کد گذاری، ﺑﺎزﺗﺤﻠﯿﻞ ﺷﺪﻧﺪ.<br> یﺎﻓﺘﻪﻫﺎ:ﻧﺘﺎیﺞ ﺣﺎﺻﻞ از ﺗﻔﺴﯿﺮ ﻣﻔﻬﻮم ﻣﺮاﻗﺒﺖ تسکینی، ﻣﻮاﻧﻊ و ﺗﺴﻬﯿﻞکﻨﻨﺪهﻫﺎی آن در ﺳﻪ ﻣﻀﻤﻮن اصلی ﻣﻔﻬﻮم ﻣﺮاﻗﺒﺖ تسکینی، ﻣﻮاﻧﻊ اراﺋﻪ ﻣﺮاﻗﺒﺖ تسکینی و ﻋﻮاﻣﻞ ﺗﺴﻬﯿﻞکننده آن، ﻃﺒﻘﻪﺑﻨﺪی گردید و در ﻣﺠﻤﻮع 35کد ﺑﻪ ﻋﻨﻮان ﻣﻬﻤﺘﺮیﻦ ﻋﻨﺎﺻﺮ ﻣﻮﺟﻮد در زﻣﯿﻨﻪ ﻣﺮاﻗﺒﺖ تسکینی، ﻣﻮاﻧﻊ و ﺗﺴﻬﯿﻞکننده آن اﺳﺘﺨﺮاج ﺷﺪ.<br> ﻧﺘﯿﺠﻪگیری:ﻣﻄﺎﺑﻖ یﺎﻓﺘﻪﻫﺎ، ﻣﻔﻬﻮم ﻣﺮاﻗﺒﺖتسکینی، یک ﻣﻔﻬﻮم پیچیده و چند ﺑﻌﺪی اﺳﺖ و ﻋﻮاﻣﻞ ﻣﺘﻌﺪدی ﺑﺎ آن در ارﺗﺒﺎط ﻫﺴﺘﻨﺪ<br> که میﺗﻮاﻧﻨﺪ آن را ﺗﺴﻬﯿﻞ ﻧﻤﻮده یﺎ ﺗﻬﺪیﺪ ﻧﻤﺎیﻨﺪ؛ ﻋﻼوهﺑﺮ آن، یﺎﻓﺘﻪﻫﺎی ﺣﺎﺻﻞ از فراترکیب ﻧﺸﺎن داد که ﻣﺮاﻗﺒﺖ تسکینی در اﻧﺤﺼﺎر زﻣﺎن یﺎ مکان ﺧﺎصی ﻧﯿﺴﺖ و از یک رویکرد گروهی و ﺑﯿﻦ رﺷﺘﻪای ﺑﺮﺧﻮردار اﺳﺖ.</div> <div style="text-align: justify;">Background and Aim: Palliative care is one of the most important concepts in nursing. The aim of this study was to interpret palliative care concept, its barriers and facilitators using meta-synthesis..<br> Materials and Methods: In this meta-synthesis, a systematic review was conducted and qualitative articles related to palliative care concept in Medline, Elsevier and Ovid in the period from 2002 to 2012 were selected. To facilitate the search, the terms &ldquo;palliative care&rdquo; and &quot;qualitative research&rdquo; were used by MeSH system. Then, articles that had exactly studied palliative care concept and its related factors, and were published in English, were selected for analysis and compared. In this study, 553qualitative articles related to palliative care concept were found and 44 articles were in close relation to palliative care concept which included 22 articles from Medline, 3 articles from Elsevier, and 19 articles from Ovid databases. In total, from among the 44 qualitative articles in the period from 2002 to 2012, full texts of 16 articles were selected and reviewed in an interpretive manner. Data were analyzed using open coding style.<br> Results: Results from interpretation of palliative care concept, its barriers and facilitators were categorized in 3 themes consisting of palliative care concept, palliative care facilitating, and palliative care threatening factors. In general, 35 codes were introduced as the most important elements in the context of palliative care.<br> Conclusion: The results show that palliative care is a complex and multi-dimensional concept. Multiple factors are related to it, which can facilitate or threaten it. In addition, the results of the present meta- synthesis showed that palliative care is not bounded by a specific time or place but enjoys a team and interdisciplinary approach.</div> ﻣﺮاﻗﺒﺖ تسکینی,ﺗﺤﻘﯿﻖ پرستاری, ﻓﺮا ترکیب Palliative care, Nursing research, Meta-synthesis 316 329 http://mcj.bums.ac.ir/browse.php?a_code=A-10-1-591&slc_lang=fa&sid=1 marjan Mardani Hamooleh ﻣﺮﺟﺎن ﻣﺮدانیﺣﻤﻮﻟﻪ 10031947532846003738 10031947532846003738 No Assistant professor, Department of nursing, Faculty of Nursing, Iran University of Medical Sciences, Tehran, Iran اﺳﺘﺎدیﺎر،گروه پرﺳﺘﺎری، دانشکده پرﺳﺘﺎری، دانشگاه ﻋﻠﻮم پزشکی ایﺮان، ﺗﻬﺮان، ایﺮان Lily Borimnejad لیلی ﺑﺮیﻢﻧژاد 10031947532846003739 10031947532846003739 Yes Leili Borimnejad, Associate professor, Department of nursing, Center for Nursing Care Research, faculty of Nursing, Iran University of Medical Sciences, Tehran, Iran l.borimnejad@gmail.com لیلی ﺑﺮیﻢﻧژاد، داﻧﺸﯿﺎر،گروه پرﺳﺘﺎری، ﻣﺮکز ﺗﺤﻘﯿﻘﺎت پرﺳﺘﺎری،دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی ایران، ﺗﻬﺮان، ایﺮان. ﺗﻠﻔﻦ:88208159-021 ﻧﻤﺎﺑﺮ:88882886-021 پست الکترونیکی: l.borimnejad@gmail.com naimeh Seyedfatemi ﻧﻌﯿﻤﻪ ﺳﯿﺪفاطمی 10031947532846003740 10031947532846003740 No Associate professor, Department of nursing, Center for Nursing Care Research, Faculty of Nursing, Iran University of Medical Sciences, Tehran, Iran داﻧﺸﯿﺎر،گروه پرﺳﺘﺎری، دانشکده پرﺳﺘﺎری، دانشگاه علوم پزشکی ایﺮان، ﺗﻬﺮان، ایﺮان Mamak Tahmasebi مامک طهماسبی 10031947532846003741 10031947532846003741 No Assistant professor, Department of Gynecology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran اﺳﺘﺎدیﺎر،گروه زﻧﺎن، دانشکده پزشکی، دانشگاه علوم پزشکی ﺗﻬﺮان، ﺗﻬﺮان، ایﺮان.