|
|
Thoughts on the predicament of the implementation of advance care planning under the background of traditional Chinese culture |
SUO Tingting1 ZHAO Baojuan2 SHEN Yongqing1 |
1.School of Nursing, Hebei University of Chinese Medicine, Hebei Province, Shijiazhuang 050200, China;
2.Operating Room, Tianjin Huanhu Hospital, Tianjin 300350, China |
|
|
Abstract Advance care planning (CAP), an effective measure to improve the quality of life of patients with end-stage diseases, can save limited medical resources while increasing the satisfaction of patients and their families. Based on the Chinese cultural background, this article summarizes the influencing factors that affect the implement of domestic ACP from three perspectives: patients, family members, and medical staff. And on this basis, it is proposed to increase publicity, train professional medical staff, build a family-oriented communication mode, timely understand the demands of patients and their families and actively explore other proposals, in order to speed up legislation, which can be considered as effective measures to cope the difficulties when implementing ACP in patients with Chinese culture background, so as to provide reference for the implementation of the ACP in China.
|
|
|
|
|
[1] 郭潇雅.“医学善终”锵锵行[J].中国医院院长,2016,12(2):38-41.
[2] Vanbutsele G,Pardon K,Van Belle S,et al. Effect of early and systematic integration of palliative care in patients with advanced cancer:a randomised controlled trial [J]. Lancet Oncol,2018,19(3):394-404.
[3] Agarwal R,Epstein AS. Advance Care Planning and End-of-Life Decision Making for Patients with Cancer [J]. Semin Oncol Nurs,2018,34(3):316-326.
[4] 谢淑萍,杨希,杨璨,等.预立医疗照护计划的发展现状与前景分析[J].护理学报,2019,26(22):19-23.
[5] Rietjens JAC,Sudore RL,Connolly M,et al. Definition and recommendations for advance care planning:an international consensus supported by the European Association for Palliative Care [J]. Lancet Oncol,2017,18(9):e543-e551.
[6] Ke LS. Advance care planning in Taiwan [J]. Patient Educ Couns,2012,89(1):213.
[7] Lai CF,Tsai HB,Hsu SH,et al. Withdrawal from long-term hemodialysis in patients with end-stage renal disease in Taiwan [J]. J Formos Med Assoc,2013,112(10):589-599.
[8] Hui E. Introducing the use of anvance care planing and advance directives in Hong Kong [J].Advance Directives Consul tation Paper,2010,15(3):29-30.
[9] Chu LW. One step forward for advance directives in Hong Kong [J]. Hong Kong Med J,2012,18(3):176-177.
[10] 丁映轩.生前预嘱的伦理问题研究[D].遵义:遵义医科大学,2019.
[11] 王雪芬,胡一兰,朱星宇.国内预立医疗照护计划研究进展[J].护理学杂志,2018,33(24):14-16.
[12] 辛惠明,黄素芬,叶梅真,等.关于老年人预立照护计划的质性研究[J].名医,2019(8):13-14.
[13] Wong SY,Lo SH,Chan CH,et al. Is it feasible to discuss an advance directive with a Chinese patient with advanced malignancy?A prospective cohort study [J]. Hong Kong Med J,2012,18(3):178-185.
[14] 孙也龙.无效医疗的成因、伦理问题及因应对策[J].科学技术哲学研究,2019,36(5):118-123.
[15] 缪佳芮,陈柳柳,张江辉,等.晚期癌症患者预立医疗照护计划质性研究进展[J].医学与哲学:B,2018,39(1):61-64.
[16] 李芹,李星梅.肿瘤患者预立医疗照护计划的影响因素研究[J].河北医学,2016,22(5):843-845.
[17] 邓仁丽,王守碧,张江辉,等.中西文化视野下预立医疗照护计划在医疗卫生体系中的植入[J].中国护理管理,2019,19(3):321-325.
[18] Wuensch A,Tang L,Goelz T,et al. Breaking bad news in China--the dilemma of patients’ autonomy and traditional norms. A first communication skills training for Chinese oncologists and caretakers [J]. Psychooncology,2013,22(5):1192-1195.
[19] 罗春梅,罗羽,徐霞,等.六步癌症告知模型的应用研究进展[J].中华护理杂志,2019,54(1):114-118.
[20] McClung JA. End-of life care in the treatment of advanced heart failure in the elderly [J]. Cardiol Rev,2013,21(1):9-15.
[21] 邓仁丽,陈柳柳,史宝欣,等.中国文化背景下预立医疗照护计划的研究进展[J].中华护理杂志,2015,50(9):1117-1121.
[22] 唐孟言,李晓玲,傅文静.肿瘤科护士对预前指示的推行意愿及影响因素研究[J].护理学杂志,2018,33(18):96-99.
[23] Kang L,Liu XH,Zhang J,et al. Attitudes Toward Advance Directives Among Patients and Their Family Members in China [J]. J Am Med Dir Assoc,2017,18(9):808.e7-808.e11.
[24] 王丽英,陆箴琦,胡雁,等.家属对晚期肿瘤患者实施预立医疗照护计划态度的质性研究[J].护理学杂志,2012,27(17):47-50.
[25] 韩素红,李厚伸,夏丽娜,等.预立医疗照护计划的实践与研究进展[J].中国护理管理,2018,18(3):298-302.
[26] Chan HY,Pang SM. Let me talk--an advance care planning programme for frail nursing home residents [J]. J Clin Nurs,2010,19(21/22):3073-3084. |
|
|
|