切换至 "中华医学电子期刊资源库"

中华临床医师杂志(电子版) ›› 2019, Vol. 13 ›› Issue (08) : 627 -630. doi: 10.3877/cma.j.issn.1674-0785.2019.08.014

所属专题: 医学人文 文献

卫生健康事业发展70年巡礼·医学人文

对临终关怀期患者家属心理支持的探索
罗蔷薇1,()   
  1. 1. 651000 昆明市社会福利院福利医院临床心理科
  • 收稿日期:2019-02-20 出版日期:2019-04-15
  • 通信作者: 罗蔷薇

Exploration of psychological support for family members of patients in hospice period

Qiangwei Luo1,()   

  1. 1. Department of Clinical Psychology, Kunming Affiliated Hospital of the Municipal Social Welfare Institute, Kunming 651000, China
  • Received:2019-02-20 Published:2019-04-15
  • Corresponding author: Qiangwei Luo
  • About author:
    Corresponding author: Luo Qiangwei, Email:
引用本文:

罗蔷薇. 对临终关怀期患者家属心理支持的探索[J]. 中华临床医师杂志(电子版), 2019, 13(08): 627-630.

Qiangwei Luo. Exploration of psychological support for family members of patients in hospice period[J]. Chinese Journal of Clinicians(Electronic Edition), 2019, 13(08): 627-630.

我国已经加速进入老龄化社会,与之相适应的医疗养老卫生服务的需求也大大增加。介于昆明市社会福利院福利医院"医养结合"的性质和"生物-心理-社会"现代医学模式理念,心理科开展了临终关怀的临床实践。对于老年患者的躯体疾病的支持治疗是主要医护服务,同时对患者家属的心理支持也是工作的重要部分。经过临床心理科医护人员长期的临床工作,总结和发展出的适合临终老年患者家属的心理支持服务,逐渐探索形成了比较成熟的模式和经验,得出如下结论:对临终关怀期患者家属的心理支持非常具有必要性、可行性和重要性,能有效的提高临床服务水平和医患沟通的满意度。同时为了促进临终关怀服务的发展,临终关怀服务需要医学、护理学、心理学、社会学、法学、伦理学、教育学等多学科的共同参与。

China has now entered into the aging acceleration period, and the demand for medical care, elderly care, and health services is also greatly increased. In view of the nature of the "combination of medical treatment and care" and the modern medical model of "the combination of biological treatment and psychological treatment" in our hospital, our department has carried out clinical practice on hospice care. Supportive treatment of physical diseases in the elderly is our primary care service, while psychological support for family members is also an important part of our work. The medical staff in our department summarize and develop psychological support services for the dying elderly family members in the long-term clinical work, gradually developing a mature model and drawing the following conclusion: psychological support of hospice patients and their families is very necessary, feasible, and important and can be very effective to improve our service levels and clinician-patient communication. At the same time, hospice care services need the participation of doctors of many disciplines such as medicine, sociology, law, ethics, psychology, and pedagogy to promote the development of hospice care.

1
张斌. 发展临终关怀事业的思考[J]. 中国医学伦理学, 2016, 29(1): 178-180.
2
冯忠堂,董峻,张瑞宏. 医学伦理学[M]. 昆明: 云南科学技术出版社, 2003: 145-148.
3
王星明. 西方主要国家临终关怀的特点及启示[J]. 医学与哲学(人文社会医学版), 2014, 35(1A): 40-42.
4
赵美霞,李义庭. 三市区临终关怀需求调查及临终关怀医疗服务模式的探讨与思考[J]. 中国医学伦理学, 2018, 31(6): 712-716.
5
唐咏. 多元化学科维度下老年人临终关怀服务的挑战与对策[J]. 中华医学杂志, 2018, 98(2): 84-86.
6
唐咏. 我国城市老年人临终关怀服务体系发展现状及对策[J]. 中华医学杂志, 2017, 97(3): 173-175.
7
于清,屈文妍,刘小冬, 等. 巴林特小组在临床护理工作中的应用[J]. 中国护理管理, 2012, 12(6): 75-77.
8
陈华. 巴林特小组在继续医学教育中的应用[J]. 中华医学教育杂志, 2010, 6(33): 457.
[1] 雍瑞欣, 柴红霞, 妥薇薇, 陈丹丹, 赵东荣. COVID-19疫情背景下围生期孕产妇抑郁情绪相关影响因素分析[J]. 中华妇幼临床医学杂志(电子版), 2022, 18(05): 591-598.
[2] 高菲, 何瑞仙, 滕菲, 梁赫, 付凤环. 癌症患者出院后心理支持需求分析及干预措施研究[J]. 中华结直肠疾病电子杂志, 2019, 08(02): 201-204.
[3] 李必波, 罗治彬, 闫东. 癌症患者的全程管理[J]. 中华介入放射学电子杂志, 2019, 07(03): 185-189.
阅读次数
全文


摘要