16名恶性肿瘤临终患者死亡认知的质性研究  

The Cognition to Death of 16 Terminally Ill Patients with Malignancies:aqualitative research

作　　者：刘小红[1] 吴梅利洋 谢志洁[1] 徐丽艳[1] 徐丽[1] 曾铁英[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院肿瘤科,湖北武汉430030

出　　处：《医学与哲学（B）》2015年第8期43-46,共4页Medicine & Philosophy(B)

基　　金：同济医院青年基金项目;项目编号:2014096

摘　　要：了解恶性肿瘤临终患者对生命走向终结的真实感受,为病情告知及指导临终关怀工作提供依据。采用现象学研究与参与式观察相结合的方法,深入访谈了16名恶性肿瘤临终患者。运用主题分析法,归纳出恶性肿瘤临终患者对死亡的认知,共4个方面:(1)死亡态度;(2)死亡过程;(3)死亡接纳;(4)死亡的结局。医护人员应深入了解恶性肿瘤患者的感受和身心需求,做到合理病情告知;呼吁完善社会支持系统,减轻患者的经济压力;进一步推进全社会的死亡教育,帮助人们逐步树立正确的生死观。To study the true feelings and understanding about death of 16 terminally patients with malignant tumors, the authors used the phenomenological method and participatory observation. Four dimensions were extracted： （1） the attitude of death such as frankly acceptance, trying to survive, hopefulness and controlling over death; （2） the procession of death including avoiding excessive treatment and dignified death; （3） the acceptance of death; （4） the result of death. Health care staff should have a thorough understanding of the feelings and needs of malignant tumor patients in order to properly handle the relationship between the traditional ethics and independent policy-making power. The reality appeals to built the prefect social support system and to increase medical reimbursement ratio in order to relieve their economic pressure and to help the patient to achieve a comfortable, decent and regretless death. Moreover, we should call upon the whole society to promote the death education in order to help us to establish the correct view of death and to built the harmonious doctor- patient relationship.

关 键 词：恶性肿瘤 死亡认知 心理体验 质性研究 

分 类 号：R73[医药卫生—肿瘤]