中华文化背景下预立医疗照护计划实施困境的思考

Thoughts on the predicament of the implementation of advance care planning under the background of traditional Chinese culture

预立医疗照护计划(ACP)可以改善终末期患者的生活质量,在提高患者及家属满意度的同时节约有限的医疗资源。基于中华文化背景,本文分别从患者、家属及医务人员3个角度总结了影响国内开展ACP的影响因素,并在此基础上提出应加大宣传力度、培养专业的医护人员、构建以家庭为导向的沟通模式、及时了解患者及家属的诉求并积极探索等提议,以加快立法等对策,拟为今后更好地在我国推广及开展ACP提供参考。

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.