终末期患者生命关怀需求的质性研究  

Qualitative study on the life care needs of terminally ill patients

作　　者：程丽楠 李惠玲[2] CHENG Li'nan;LI Huiling(School of Nursing,Wenzhou Medical University,Wenzhou 325000,Zhejiang,China;School of Nursing,Soochow University,Suzhou 215006,Jiangsu,China)

机构地区：[1]温州医科大学护理学院,浙江温州325000 [2]苏州大学护理学院,江苏苏州215006

出　　处：《护士进修杂志》2024年第23期2537-2542,共6页Journal of Nurses Training

基　　金：国家社会科学基金项目(编号:21&ZD187)。

摘　　要：目的了解终末期患者生命关怀需求。方法采用归纳性内容分析法,运用Nvivo11.0软件对2009-2023年收集整理的29篇生命关怀叙事日记进行整理及主题提炼。结果共提炼出5个主题:生命关怀需求表达、生命被尊重、生命被肯定、与社会基本关系告别需求及生命意义探寻。结论给予终末期患者生命关怀,应准确识别生命关怀需求表达的信号,并以尊重个体生命为前提肯定生命价值,释放其内在力量,促进生命与载体之间的告别,实现生命延续和超越,帮助终末期患者体验生命的意义和价值。Objective To understand the life care needs of terminal patients.Methods Using an inductive content analysis approach,29 narrative diaries on end-of-life care collected from 2009 to 2023 were analyzed and thematically extracted their themes with the assistance of Nvivo11.0 software.Results A total of 5 themes were extracted:Expression of end-of-life care needs,respect for life,affirmation of life,the need for closure with fundamental social relationships,and the search for life's meaning.Conclusion Providing end-of-life care for terminal patients requires accurately identifying signals of expressed care needs,and respecting the sanctity of individual life as the premise,affirming the value of life,unlocking patients'inner strength,promoting the process of bidding farewell to life while fostering both the continuation,realize the continuation and transcendence of life,and ultimately helping terminal patients to experience the meaning and value of their existence.

关 键 词：终末期 生命关怀 生命尊重 安宁疗护 护理 

分 类 号：R473[医药卫生—护理学] R48[医药卫生—临床医学]