摘要
分析了临终患儿多层面的特殊性,包括在生理层面对于疾病、疼痛以及药物的感知与反应;心理层面对死亡认知的差异性以及濒死时心理状态的改变;家庭支持网络的特殊性与学校支持网络的重要性;以及身为儿童对于发展与学习的特殊需要。并基于对重庆市FS儿童医院、长沙市H儿童临终关怀机构的患儿临终关怀服务的调查,论述"情境理论"的基本观点及其在医学中的适用性,提出搭建以"情境理论"为理论视角,以患儿为中心的个体增能、家庭增能、照护专业增能和社会资源链接的儿童临终社会工作服务模式。
This paper analyzes the particularities of dying children in several aspects,including their perceptions and responses to diseases,pain and drugs at the physiological level;the difference of death perception at the psychological level and the change of mental state at the time of dying;the particularity of family support network and the importance of school support network;and the special needs of children for development and learning.Based on the investigation of hospice care services of Chongqing FS Children’s Hospital and Changsha H Center for Children’s Hospice Care,this paper discusses the basic viewpoints of'theory of person-in-situation'and its practicability in medicine,and puts forward the construction of a service model that children’s hospice social workers,who take'theory of person-in-situation'as the theoretical perspective,take children as the center,and link the progress of individual,family,nursing care with social resources.
作者
彭小兵
胡馨婷
PENG Xiao-bing;HU Xin-ting(School of Public Affairs,Chongqing University,Chongqing400044,China)
出处
《医学与哲学》
2019年第7期32-36,共5页
Medicine and Philosophy
基金
2015年国家自然科学基金项目(71573024)
2018年重庆大学中央高校基本科研业务费科研专项(2018CDXYGG0054)
关键词
临终关怀
儿童
情境理论
社会工作
hospice care
children
theory of person-in-situation
social work
