中国专家就息护理和临终关怀的定义达成共识 (2025年)
概括
本研究建立了专家对中国的息护理和临终关怀的共识定义,解决了术语不一致的问题. 新的定义旨在改善政策,临床实践和研究,以便更好地支持患者和家人.
科学领域:
- 医学伦理 医学伦理
- 老年学是一门学科.
- 在瘤学瘤学.
背景情况:
- 中国的现代息护理发展始于20世纪80年代,目前处于加速阶段.
- 不一致的术语和概念阻碍了息护理的政策制定,临床实践和研究.
- 新的正式术语,Huan-He-Yi-Liao (息护理) 和An-Ning-Liao-Hu (临终关怀),于2023年建立.
研究的目的:
- 建立专家共识的息护理和临终关怀的定义,以适应中国的背景.
- 为了与息治疗和临终关怀的新建立的正式中文术语保持一致.
- 提供明确的定义,支持在中国促进息护理的发展.
主要方法:
- 系统地检索和分析国内和国际文献和有关息治疗定义的政策文件.
- 两轮的德尔菲咨询与61名中国息护理专业人士,以达到专家的共识.
- 将患者和公众参与 (PPI) 团体的反纳入最终定义的制定.
主要成果:
- 在Delphi调查中,响应率高 (83.6%和100.0%),对定义项目和陈述达成90%以上的共识.
- 建议对息护理的定义作为对危及生命的疾病的积极,整体方法,以及作为终身息护理的组成部分的临终关怀护理.
- 定义强调通过解决患者和家人的身体,心理,社会和精神痛苦来改善生活质量.
结论:
- 建立了中国专家对息治疗和临终关怀的共识定义,澄清了它们之间的关系.
- 这些定义强调了息治疗的整体性质,这对于学科发展至关重要.
- 这些共识定义为改善中国的临床实践,政策制定和公共沟通提供了基础.
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