癌症患者医患间临终沟通的研究进展

Research Progress in Hospice Communication between Cancer Patients and Doctors

随着国内癌症患者人数的不断增加,医务人员与癌症患者因缺乏临终沟通容易引发医患矛盾。面对癌症患者这类特殊群体,通过引进临终沟通概念,对比国内外癌症患者临终沟通现状,发现国内医务人员与癌症患者进行临终沟通的不足之处。分析了癌症患者临终沟通中医护人员、癌症患者及社会文化背景三方面影响因素,总结临终沟通相关评估工具及注意事项,为国内医务人员与癌症患者进行临终沟通发展相关工具提供借鉴,有利于医务人员在安宁疗护背景下对癌症患者实施更有效的临终沟通。亦有利于从医务人员角度作为切入点帮助患者打开死亡话题,构建开放型临终沟通环境。

With the increasing number of cancer patients in China,the lack of hospice communication between medical staff and cancer patients can easily cause doctor-patient conflicts.Facing the special group of cancer patients,by introducing the concept of hospice communication and comparing the current situation of hospice communication of cancer patients at home and abroad,this paper found the shortcomings of hospice communication between medical staff and cancer patients in China.This paper aimed to analyze the influencing factors of cancer patients'hospice communication from three aspects of medical staff,cancer patients and social and cultural background,summarized the assessment tools and matters needing attention related to hospice communication,so as to provide reference for domestic medical staff to develop relevant tools for hospice communication with cancer patients,and help medical staff to implement more effective hospice communication with cancer patients in the context of tranquil care.It is also conducive to help patients open the topic of death from the perspective of doctors and build an open hospice communication environment that is more in line with national conditions of China.