重症医学的建设发展战略及伦理问题.docxVIP

论文提纲摘要：重症医学在我国起步较晚，学科建设及发展较其它发达国家差距较大。本文对现阶段重症医学的建设，医务工作者面临的疲溃感，及重症患者医学伦理的问题进行综述。随着重症患者的救治率在不断提高，接踵而来的重症患者医学伦理问题在不断增多。本文创新之处在于将重症患者将面临的伦理问题及解决方法进行综述。通过对学科建设的总结，以寻找更加有效的管理方法，达到加快学科建设促进学科发展的目的。关键词：重症医学；管理；伦理；结构1．建设与管理重症医学2．减轻ICU医务人员的疲溃感3．让重症患者治疗无效后有尊严的去世创新点：结合我国国情分析重症医学建设及伦理面临问题结论：在重症医学已成为一门新型的临床医学学科，精进不休日渐腾飞。目前还有许多学科建设问题、伦理问题、财政政策问题需要解决。参考文献：[1]Pronovost PJ,Angus DC,Dorman T.et al.Physician staffing patterns and clinical out comes in critically ill patients:a systematic review.JAMA,2002,288:2151-2162[2]Parikh A Huang SA,Murthy P,et al.Quality improvement and cost savings after implementationg of the Leapfrog intensive care unit physician staffing standard at a community teaching hospitao.Crit Care Med,Oct 2012,40:2754-2759.[3]Dyrbye LN,Shanafelt TD.Physician Burnout.JAMA;The Journal of the American Medical Association,2009,302:1338-1340.[4]Heponiemi T,Kuusio H,Sinervo T,et al.Job attitudes and well-being among pulic vs.private physicians:organizational justice and job control as mediators.The European Journal of Public Health,2011,21:520-525.[5]Sundin L,Hochwalder J Bildt C.et al.The relationship between different work-related sources of social support and burnout among registered and assistant nurses in Sweden :a questionnaire survey.International Journal of Nursing Studies,2007,44:758.[6]Deborah Cook,Graeme Rocker.Dying with Dignity in the Intensive Care Unit.N Engl J Med,2014,370:2506-2514.[7]Visser M,Deliens L,Houttekier D.Physician-related barriers to communication and patient-and family-centred decision-making towards the end of life in intensive care:a systematic revier,Critical Care,2014,18:604.[8]Azoulay E,Chaize M,Kentish-Barnes N Involvement of ICU families in decisions:fine-tuning the partnership Annals of Intensive Care,2014,4:37.哈医大二院ICU-B区 学号:201503081 联系电话 邮箱重症医学的建设发展战略及伦理问题娄邵菲哈医大二院ICU-B区 学号:201503081 联系电话 邮箱摘要：重症医学在我国起步较晚，学科建设及发展较其它发达国家差距较大。本文对现阶段重症医学的建设，医务工作者面临的疲溃感，及重症患者医学伦理的问题进行综述。随着重症患者的救治率在不断提