危重患者终末期治疗与临终人文关怀方法探讨  

Study on the End-stage Treatment of Critically Ill Patients and Method of Humanistic Care

作　　者：孙师元[1] 袁国莲[2] 陈尔秀[1] 丁毅[1] 

机构地区：[1]西安交通大学医学院第二附属医院急诊科,陕西西安710004 [2]西安交通大学医学院第二附属医院科研实验中心,陕西西安710004

出　　处：《中国医学伦理学》2012年第4期517-518,共2页Chinese Medical Ethics

摘　　要：目的研究人文关怀对临终患者生活质量的影响和效果。方法回顾性分析西安交通大学医学院第二附属医院自2009年3月～2010年12月收治的68例危重患者,随机分为观察组和对照组,对照组给予常规治疗及护理。观察组在此基础上,进行全方位、深层次的人文关怀治疗及护理。结果在疼痛缓解程度、心理状态及医疗满意度等方面,观察组优于对照组,差异显著(P<0.05)。结论对临终患者给予人文关怀对提高患者的舒适度、满意度及生活质量非常重要。Objective： To explore the influence of humanistic medical care on the litb quahty o! end - stage pa- tients. Methods：Retrospectively analyze 68 patients with acute or critically ill admitted to our department from March, 2009 to December, 2010, which were randomly divided into trial group and control group with 34 patient respectively. The control group was given routine treatment and nursing. Besides, the observation group was given the humanistic medical care in the construction of the warm environment, the psychological needs meeting, the re- alization of the heart needs, and family needs love and so on comprehensive, deep humane care treatment and nurs- ing care. The life quality of the patients was statistically analyzed. Results： Therapeutic effect and pain psychologi- cal status and medical treatment satisfaction of the observation group were significantly better than that of control group （ P 〈 0.05 ）. Conclusion： Hospice patients to critically ill patients to improve to humane care of comfort and satisfaction and quality of life is very necessary.

关 键 词：危重患者 临终人文关怀 终末期治疗 生存质量 医学伦理学 

分 类 号：R48[医药卫生—临床医学]