北京协和医院院内缓和医疗会诊对医护人员的影响  

Effects of Palliative Care Consultation on Medicals in Peking Union Medical College Hospital

作　　者：张雨 刘茜[2] 戴晓艳[2] 赵小萱 葛楠 曲璇 宁晓红 邹海欧[1] ZHANG Yu;LIU Qian;DAI Xiaoyan;ZHAO Xiaoxuan;GE Nan;QU Xuan;NING Xiaohong;ZOU Hai’ou(School of Nursing,CAMS and PUMC,Beijing 100144,China;Department of International Medical Services,CAMS and PUMC,Beijing 100730,China;Department of Geriatric,PUMC Hospital,CAMS and PUMC,Beijing 100730,China)

机构地区：[1]中国医学科学院,北京协和医学院,护理学院,北京100144 [2]中国医学科学院,北京协和医学院,北京协和医院,国际医疗部,北京100730 [3]中国医学科学院,北京协和医学院,北京协和医院,老年医学科,北京100730

出　　处：《中国医学科学院学报》2021年第1期9-14,共6页Acta Academiae Medicinae Sinicae

摘　　要：目的探讨北京协和医院院内缓和医疗会诊对请求过缓和医疗会诊医护人员的影响。方法对17名请求过缓和医疗会诊的医护人员进行半结构式访谈。结果缓和医疗会诊对医护人员的正面影响有:可以搭建医患沟通的桥梁,拉近医患之间的距离;给予医护人员心理支持,减少职业耗竭感;给予医护人员技术支持,从而帮助患者缓解症状;实现跨学科的交流与学习;弥补传统医疗缺乏的人文关怀以及重拾被忽视的医学伦理问题的作用。结论三甲医院内缓和医疗会诊对提高医护人员服务末期病患的品质意义重大,现有的缓和医疗会诊服务能力亟待提升。Objective To explore the effects of palliative care consultation on medical professionals who have requested it in Peking Union Medical College Hospital.Methods Semi-structured interviews were conducted with 17 medical professionals who had requested palliative care consultation.Results Palliative care consultation had the following positive effects:building a bridge for doctor-patient communication,providing psychological support to reduce the sense of occupational exhaustion for medical professionals,providing technical support for medical professionals to help patients relieve symptoms,helping medical professionals in the multidisciplinary learning of palliative care,adding humanistic care and neglected ethical concerns.Conclusion Palliative care consultation improves the quality of care for dying patients,and the capacity of consultation needs to be enhanced urgently.

关 键 词：缓和医疗会诊 医护人员 定性研究 

分 类 号：R48[医药卫生—临床医学]