摘要
目的根据归一化过程理论探讨临床医护人员对临床实施心衰缓和医疗照护的态度,探讨其临床有效应用的促进和阻碍因素。方法采用半结构式访谈法对13名心血管、社区、缓和医疗照护领域的医疗护理专家进行访谈,运用内容分析法分析访谈资料。结果受访者认为心衰缓和医疗照护是现有心衰疾病管理方案的补充,在提高生活质量、实现基于患者意愿的治疗方式等方面发挥着积极作用,但现阶段在我国临床推广应用需要克服一系列阻碍因素。结论随着国家政策支持、医疗需求增长、医护人员培训及公众信任提升,为心衰缓和医疗照护临床实践开展提供可能。
Objective： According to the theory of normalization process,to discuss the attitude of medical staff to the clinical implementation of palliative care in patients with heart failure,and explore the promotion and hindrance factors of clinical effective application. Methods： This paper adopted semi-structured interview to interview total 13 experts from the fields of cardiology,community,and palliative care,and used content analysis to analyze the interview data. Results： Respondents considered that the palliative care in patients with heart failure was a supplement to existing heart failure management program and played a positive role in improving the quality of life and realizing a treatment approach based on the willingness of patients. However,it was necessary to overcome a series of obstacles for clinical application at this stage in China. Conclusion： With the support of national policy,the growth of medical demand,the training of medical staff and the improvement of public trust,it provides the possibility for clinical practice of palliative care in patients with heart failure.
作者
周晓楠
张辰
赵炳云
李峥
康晓凤
ZHOU Xiaonan;ZHANG Chen;ZHAO Bingyun;LI Zheng;KANG Xiaofeng(School of Nursing, Peking Union Medical College, Beijing 100144, China;Department of Internal Medicine of Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing 100037, China;Care Ward of Beifing Geriatric Hospital, Beifing 100095, China)
出处
《中国医学伦理学》
2018年第5期642-646,共5页
Chinese Medical Ethics
基金
北京协和医学院护理学院科研项目(PUMCSON201712)
