重新发现“意义”:生命历程视野的临终关怀  

Rediscover the Meaning:Palliative Care from the Perspective of Life Course Theory

作　　者：陈泽霖 谭卫华[1] 郑立羽[1] CHEN Ze-lin;TAN Wei-hua;ZHENG Li-yu(School of Health,Fujian Medical University,Fuzhou 350108,China)

机构地区：[1]福建医科大学健康学院,福建福州350108

出　　处：《医学与哲学》2021年第1期29-33,共5页Medicine and Philosophy

基　　金：2018年福建省中青年教师教育科研项目(JAS180133);2020年福建医药卫生体制改革研究会“卫生健康政策创新研究”课题(2020C12)。

摘　　要：指出现有研究多从传统的生命哲学、宗教教义、伦理主张等宏大叙事层面推演出统一的生命意义,忽视了建基于患者生活史的多元生命体验,相关干预方案缺乏差异化的意义生成基础。将生命历程理论引入临终关怀的研究视野,关注患者及其家庭的生活史,以及于生命之起承转合间衍生而来的多元意义,并提出“一阶干预”与“二阶干预”路径,主张专业行动者先对家属进行“意义唤起”,再由家属与患者“意义共享”的安宁干预方案。这有益于在理论上厘清不同生命历程下的意义多元性,在实践上让家庭回归临终关怀的主体性位置。Current researches mainly deduce the unified meaning of life from China's traditional life philosophy,religious doctrines,and ethical propositions.Yet they often ignore the diverse experiences of different patients,and the professional actions involved neglect the differentiated meanings that based on the life history.The authors introduce the life course theory into the horizon of palliative care,focusing on life history of patients and their families,as well as the different meanings derived from the floating of life.Meanwhile,it proposes a two-order intervention plans:(1)Professional actors help arouse the meaning of life with family members in first-order intervention;(2)Family members share the life meaning with the terminal-stage patients in second order.The research may help to clarify the diversity of meaning in the framework of life course theory,leading the family back to the subjective position of palliative care in practice.

关 键 词：临终关怀 生命历程理论 安宁疗护 意义疗法 

分 类 号：R-05[医药卫生]