临终梦境与幻象的概念和内涵辨析

Conceptual and Connotative Analysis of End-of-life Dreams and Visions

临终梦境与幻象是终末期患者的一种临终体验,给患者以意义感和慰藉,并帮助其完成从生到死的过渡,帮助医护人员抚慰患者家属的丧亲之痛,具有正向引导的临床意义。以界定临终梦境与幻象的相关术语和概念为切入,挖掘其内涵,辨析其与谵妄、死亡回忆体验的异同点,解释临终梦境与幻象与临终体验的关系。进一步关注安宁疗护中临终梦境与幻象的意义和阻碍因素,为其在实践中应用与发展提供建议和思考。

End-of-life dreams and visions are experiences commonly encountered by terminally ill patients,providing them with a sense of meaning and comfort,facilitating the transition from life to death.These experiences also help healthcare professionals console the bereaved families,holding significant clinical value in offering positive guidance.This study begins by defining the relevant terms and concepts associated with end-of-life dreams and visions,exploring their connotations,and analyzing the similarities and differences between these experiences and delirium or other near-death experiences.The study also focuses on the significance and challenges of end-of-life dreams and visions in palliative care,examines the factors that may hinder their occurrence,and offers suggestions and reflections for their application and development in clinical practice.