预立医疗照护计划沟通要素:肿瘤科医务人员的视角  

Advance Care Planning Communication Elements:perspectives from oncology medical staffs

作　　者：缪佳芮 邓仁丽[2] 陈柳柳[2] 张江辉[2] 邱业银 MIAO Jia-rui;DENG Ren-li;CHEN Liu-liu(Zhuhai Campus of Zunyi Medical University,Zhuhai 519041,China)

机构地区：[1]遵义医科大学珠海校区,广东珠海519041 [2]遵义医学院第五附属(珠海)医院,广东珠海519100

出　　处：《医学与哲学（B）》2018年第8期81-84,共4页Medicine & Philosophy(B)

基　　金：2016年国家自然科学基金(71663064)

摘　　要：从肿瘤科医务人员的角度探讨晚期肿瘤患者进行预立医疗照护计划沟通的要素。采用目的抽样的方法,对7例肿瘤科医务人员进行团体访谈,采用内容分析法对访谈资料进行分析。最终归纳3个主题:预立医疗照护计划的态度、沟通要素及阻碍因素。参与者都认可此理念,并提出了预立医疗照护计划沟通时间、次序及内容等要素,但落实依旧困难重重,包括患者知情权与决策权受损;政策法律缺失;医患信息不对等;道德绑架。本研究将为进行干预性研究提供指导,同时对在临床上进行预立医疗照护计划沟通提供指引。To discuss the implementation of Advance Care Planning（ACP）communication in advanced cancer patients from the perspectives of oncology medical staffs.7 oncology medical staffs who are selected by purposive sampling participate in the focus group and the content analysis method is used to analyze the interview data.Three themes are identified：the attitude to ACP,ACP communication elements and obstacles.Participants accept the ACP,and they come up with the communication elements：time,sequence and content.However,there still are some obstacles：the patients＇ informed consent and decision-making are damaged,lack of policy laws,unequal doctor-patient information,moral.The conclusions of the study will provide tips for the interventional research and ACP communication in clinical.

关 键 词：预立医疗照护计划 沟通 质性研究 

分 类 号：R730.9[医药卫生—肿瘤]