安宁疗护实践中的医疗照护与灵性关怀

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英文篇名：Medical Care and Spiritual Care in the Practice of Hospice Care 作者：姜姗 ; 马岭 ; 李忠 ; 周宁 英文作者：JIANG Shan;MA Ling;LI Zhong;ZHOU Ning;School of Health Policy and Management,Nanjing Medical University;Air Force Hospital,Eastern Theater of PLA;School of Medicine and Health Management,Tongji Medical College of Huazhong University of Science & Technology; 关键词：安宁疗护 ; 医疗照护 ; 灵性关怀 英文关键词：Hospice Care;;Medical Care;;Spiritual Care 中文刊名：XNLX 英文刊名：Chinese Medical Ethics 机构：南京医科大学医政学院;中国人民解放军东部战区空军医院;华中科技大学同济医学院医药卫生管理学院; 出版日期：2019-03-20 出版单位：中国医学伦理学 年：2019 期：v.32 语种：中文; 页：XNLX201903004 页数：4 CN：03 ISSN：61-1203/R 分类号：23-26

摘要

晚期肿瘤患者由于症状复杂多变且死亡可预期,是国内目前安宁疗护服务的主要人群,且在临终前通常面临身体、心理、精神和社会等方面的痛苦及需求,照护者应根据每位患者的病情状况制定个性化解决方案,提供不同的治疗和帮助,以有效减轻患者身体痛苦,给予灵性关怀,改善生命质量。通过对1例乳腺癌患者安宁疗护临床实践过程进行分析,总结照护经验和体会,以期为本土化安宁疗护服务提供借鉴。
        Due to the complicated symptoms and predictable death, patients with advanced cancer are the main group of the hospice care service. With the pain and need of physical, psychological, mental and social when death approaching, individualized strategies should be developed according to each patient's condition, to help to alleviate their pains, provide spiritual care and improve the quality of life effectively. Through the analysis of the clinical practice of hospice care for a breast cancer patient, this article summarized the nursing experience in order to provide reference for the localized hospice care.

引文

[1] Caldeira S, Carvalho E C, Vieira M. Spiritual distress-proposing a new definition and defining characteristics[J]. International Journal of Nursing Terminologies & Classifications, 2013, 24(2):77-84.
    [2] 王一方. 生命中的灵性与医疗中的灵性照顾——兼谈中国传统文化语境中的灵性叙事[J]. 中国护理管理, 2018, 18(3):330-332.
    [3] 国家卫生和计划生育委员会. 安宁疗护中心基本标准和管理规范(试行)[J]. 中国护理管理, 2017, 17(3):289-290.