老年皮肤性病患者治疗过程中的伦理探讨.pdfVIP

　　　　　　　　　　　　　　　中国医学伦理学 　　　　　　　　　　　　2001 年第 2 期·总第 76 期 — 4 — 老年皮肤性病患者诊疗过程中的伦理探讨 朱国兴 ,陆　春 ,黄怀球 中山医科大学附属第三医院皮肤性病科,广东　广州　510630 ( ) 〔摘 　要〕探讨了目前临床上诊疗老年皮肤性病患者时存在的伦理道德问题 ,主要有 1 询问病史时道德 责任感不强 , 问诊不讲究技巧; (2) 体格检查时不细致 ,伤害患者的人格 ; (3) 临床检验态度不严谨 ,操作不规 ( ) ( ) 范 ; 4 治疗方案不规范 ,未考虑老年人的特点。提出了解决方案 ,包括 1 询问病史时要有高度的道德责任 感 ,结合老年人的特点问诊 ; (2) 体格检查时全面系统、认真负责 ,尊重和关心老年患者 ; (3) 临床检验要态度 严谨、操作规范 ,方便老年患者 ; (4) 治疗时尽可能考虑老年人的特点 ,合理治疗 ; (5) 尊重和爱护生命 ,重视老 年皮肤病患者的生活质量。 〔关键词〕老年 ;皮肤病 ;伦理 〔中图分类号〕R - 05 　R759 　　〔文献标识码〕A An Ethical Discussion about Senile Patients of Dermatosis and Venereal Disease in the Diagnosis and Treatment Zhu Guoxing ,Lu Chun ,Huang Huaiqiu Depart ment of Derm atology and V enereology , The Thi rd Af f iliated Hospital , S un Yat - Sen U niversity of Medical Sciences , Guangz hou 510630 , China Abstract :This article discusses the ethical problems about Senile patients of dermatosis and venereal disease ( ) in the diagnosis and treatment . The problems mainly include : 1 moral responsibilit y is not strong and skills are not taken into account when inquiring history ; (2) it is not careful enough and personalit y of patients may be hurt when making medical examination ; (3) attitude is not solemn and operation not normative ; (4) treatment is not normative and charcteristics of senile patients are not considered. We bring forward some suggestions including ( ) of : 1 moral responsibilit y must be strong enough and skills should be taken into account when inquiring history ; (2) it must be careful engough and personalit y of patients may be respected