痴呆患者预立医疗照护计划的研究进展  

Advances in the research of pre-medical care plan for dementia patients

作　　者：王博[1] 尹永田 张苹 张小满[1] 陈莉军[1] WANG Bo;YIN Yongtian;ZHANG Ping;ZHANG Xiaoman;CHEN Lijun(College of Nursing,Shandong University of Traditional Chinese Medicine,Shandong Province,Ji′nan 250000,China;Office of Academic Affairs,Shandong University of Traditional Chinese Medicine,Shandong Province,Ji′nan 250355,China)

机构地区：[1]山东中医药大学护理学院,山东济南250000 [2]山东中医药大学教务处,山东济南250355

出　　处：《中国医药导报》2020年第19期38-42,共5页China Medical Herald

基　　金：山东省卫生计生委中医药管理局中医药科技发展计划项目(2017-033);山东省青少年教育科学规划课题大学生学术课题(19BSH242)。

摘　　要：痴呆群体人数日益增多、增速较快,给患者、家庭及社会带来沉重心理及照顾负担.预立医疗照护计划(ACP)作为阿尔茨海默症和其他痴呆症患者高质量护理的一个重要组成部分,可以帮助提高痴呆患者的生存质量及临终关怀质量.本文通过查阅国内外相关文献,现对ACP的相关概念、ACP在痴呆患者中实施的必要性、实施现状、实施方案及效果、阻碍其实施的影响因素进行综述,拟对今后在我国痴呆群体中更好地实施ACP提供参考.The population of dementia group is increasing rapidly,which brings heavy psychological and care burden to patients,families and society.Advance care planning(ACP),as an important part of high-quality care for Alzheimer′s disease and other dementia patients,can help improve the quality of life and hospice care for dementia patients.This paper reviews the related concepts of ACP,the necessity of ACP implementation in dementia patients,the status of ACP implementation,the implementation plan and effect,and the influencing factors that hinder its implementation,in order to provide reference for better implementation of ACP in dementia population in China in the future.

关 键 词：痴呆 预立医疗照护计划 预先指示 综述 

分 类 号：R473.74[医药卫生—护理学]