我国安宁疗护的困境和出路

Palliative care in China:a way out of the dilemma

临终患者遭受疼痛折磨的现象仍然普遍,安宁疗护的发展面临诸多障碍,死亡给人类社会带来的价值被忽视,生命的意义与死亡的价值之间的内在关联未被充分挖掘。本文就我国安宁疗护的现状,临床医生如何反思和应对,全社会关于安宁疗护的观念转变,以及行动建议等方面进行论述,尝试为走出安宁疗护的困境提供医学人文的视角。

It is still common for terminally ill patients to suffer from pain,and the development of palliative care faces many obstacles.The value of death to human society is ignored,and the intrinsic relationship between the meaning of life and the value of death has not been fully explored.This article discusses the current status of palliative care in China,how clinicians reflect and respond,the change of the whole society's concept of palliative care,and suggestions for action,and tries to provide a medical humanistic perspective for walking out of the dilemma of palliative care.