■与西方国家相比,在亚洲国家,姑息治疗和临终关怀服务的使用频率较低。虽然这两种类型近年来都在中国大陆实施,他们的利用率没有令人满意地提高。此外,中国大陆很少有医院使用临终关怀共享护理模式实施临终关怀护理。
本研究调查了一例在中国大陆某三级综合医院接受治疗的晚期结肠癌患者实施了临终关怀共享护理模式的案例。
■护理要点包括疼痛症状管理,营养支持,疾病通知共享模型的应用,协助医疗决策的家庭会议,放松疗法缓解抑郁症状,解决临终愿望的规定,以及对主要护理人员的支持。
■患者的基本疼痛得到控制(数字评定量表,NRS2-3),住院期间干预后抑郁筛查量表(PHQ-9)评分从15分下降到10分。最后,病人在家里舒适平静地死去。
临终关怀共享护理团队帮助患者减轻了身体和心理上的痛苦,满足了她临终的愿望,并为家庭提供支持。
UNASSIGNED: Compared to Western countries, palliative and hospice care services are used less often in Asian countries. While both types have been implemented in mainland China in recent years, their utilization rates have not increased satisfactorily. Moreover, few hospitals in mainland China implement hospice care using the hospice shared care model.
UNASSIGNED: This study investigated a
case in which the hospice shared care model was implemented for one patient with advanced colon cancer who had received treatment at a general tertiary hospital in mainland China.
UNASSIGNED: Critical points of care included pain symptom management, nutritional support, application of the SHARE model for disease notification, family meetings to assist medical decision-making, relaxation therapy to relieve depressive symptoms, provisions to address end-of-life wishes, and support for primary caregivers.
UNASSIGNED: The patient\'s basic pain was controlled (Numeric Rating Scale, NRS2-3), and the score of the Depression Screening Scale (PHQ-9) decreased from 15 to 10 after intervention during hospitalization. In the end, the patient died comfortably and peacefully at home.
UNASSIGNED: The hospice shared care team helped the patient with her physical and psychological pain, met her end-of-life wishes, and provided support for the families.