摘要
目的通过分析近年来北京市朝阳区小红门社区卫生服务中心安宁疗护病房收治的23例患者的安宁疗护经历,探讨如何在社区安宁疗护中心更好地开展安宁疗护工作。方法本中心收治的23例安宁疗护患者中,肿瘤21人,非肿瘤2人,有焦虑、抑郁等情绪障碍14人,肿瘤患者中出现疼痛16人。安宁疗护强调多学科团队协作。改善疼痛主要采用三阶梯止痛药物、舒适护理、中医辅助治疗和心理治疗。采用症状控制、舒适护理、精神心理抚慰、四道人生等方法能够改善情绪问题。结果通过上述方法,明显减轻了患者疼痛及焦虑、抑郁等不良情绪,安详离世,全家庭生命质量提高。结论在社区医疗机构,通过多学科协作,大力开展肿瘤等终末期患者的安宁缓和医疗服务,能够改善患者身心社灵痛苦,实现善终,提升患者和家庭生命质量。
Objective To explore how to better carry out hospice care in community hospice care centers through 23 patients admitted to our hospice care center in recent years.Methods Among the 23 hospice care patients summarized,21 had tumors,2 had non-tumor diseases,14 had emotional disorders such as anxiety and depression,and 16 tumor patients experienced pain.Hospice care emphasizes multidisciplinary team collaboration.Pain management mainly adopts the three-step analgesic ladder,comfort care,Traditional Chinese Medicine adjuvant therapy and psychological therapy.Symptom control,comfort care,spiritual and psychological comfort,and the“Four Life Tasks”(saying sorry,thank you,I love you,and goodbye)were used to improve emotional problems.Results The above methods significantly relieved patients’pain,anxiety,depression and other negative emotions,enabling them to pass away peacefully and improving the quality of life of the entire family.Conclusion In community medical institutions,vigorously carrying out hospice and palliative care services for terminally ill patients such as those with tumors through multidisciplinary collaboration can alleviate patients’physical,psychological,social and spiritual sufferings,achieve a peaceful death,and improve the quality of life of patients and their families.
作者
宋春莹
曹艳丽
来路生
陈宏伟
陈均凤
那开宪
Song Chunying;Cao Yanli;Lai Lusheng;Chen Hongwei;Chen Junfeng;Na Kaixian(Xiaohongmen Community Health Service Center,Beijing 100176,China;Beijing Chaoyang Hospital Affiliated to Capital Medical University,Beijing 100020,China)
出处
《首都食品与医药》
2026年第4期55-57,共3页
Capital Food Medicine
关键词
社区安宁疗护
多学科团队
癌症
疼痛
焦虑抑郁
四道人生
Community hospice care
Multidisciplinary team
Cancer
Pain
Anxiety and depression
Four Life Tasks
