大陆预立医疗照护计划的临床实践

doi:10.3969/j.issn.1674-490X.2019.01.009

摘要/Abstract

摘要： 预立医疗照护计划(advance care planning,ACP)能充分尊重患者的医疗自主权,帮助临终者实现符合本人意愿的“尊严死”。回顾中国文化背景下大陆ACP的临床实践,从实践意义、中国文化背景下医护患及家属对ACP的认知、态度及影响因素、促进ACP讨论的实践活动及ACP临床实践效果研究等方面分别进行阐述,以期为后续开展相关研究提供理论依据,为医疗实践中临床工作者开展ACP提供实践指导,推动国内安宁疗护的发展。

关键词: 中国文化背景, 预立医疗照护计划, 临床实践, 安宁疗护

Abstract: Advance care planning(ACP)can fully respect the patient's medical autonomy and help the dying to achieve "dignified death" in accordance with their wishes. This article reviews the clinical practice of advance care planning in mainland China under the background of Chinese culture. This paper expounds the practical significance; cognition, attitude and influencing factors of ACP among doctors, nurses, patients and their family members; the practical activities to promote the discussion of ACP; and the research on the effect of clinical practice of ACP in order to provide a theoretical basis for the follow-up research, provide practical guidance for clinical workers to carry out advance care planning in medical practice and promote the development of hospice care in China.

Key words: Chinese cultural background, advance care planning, clinical practice, palliative care

中图分类号:

邓仁丽,杨柳. 大陆预立医疗照护计划的临床实践[J]. 医学研究与教育, 2019, 36(1): 46-52.

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