临终关怀尊严死教育对ICU临终患者疏导作用及医患关系影响.docVIP

临终关怀尊严死教育对ICU临终患者疏导作用及医患关系影响 摘要目的：探讨临终关怀尊严死教育对ICU临终患者的疏导作用及医患关系的影响。方法：选取2014年6月~2015年4月入住我院ICU接受治疗的晚期肿瘤患者126例并随机等分为对照组和试验组。对照组采取积极救治的医疗服务模式；试验组采取临终关怀尊严死医疗服务模式，观察两组患者放弃治疗情况以及家属对治疗满意度。结果：试验组59例患者选择放弃治疗，对照组仅有27例患者选择放弃治疗，两组比较具有统计学意义（Plt;0.05）；试验组患者家属满意度高于对照组，差异具有统计学意义（Plt;0.05）。结论：临终关怀尊严死教育不仅能减轻患者的痛苦，降低家属的负担，还有助于减少不必要的医疗资源浪费，值得在临床上推广应用。 关键词临终关怀；尊严死；临终患者；医患关系doi:10.3969/j.issn.1672-9676.2016.20.038 Influence of education of death with dignity in hospice care on the persuasion of ICU dying patients and doctor-patient relationship YUAN Wei-rong,He Xing,ZHANG Hai-yan（The First Peoples Hospital of Huizhou,Huizhou516001） AbstractObjective: To explore the influence of education of death with dignity in hospice care on the persuasion of ICU dying patients and doctor-patient relationship. Methods: A total of 126 patients with advanced cancer admitted to ICU from June 2014 to April 2015 were randomly divided into control group and experimental group. The control group adopted the model of positive medical treatment; the experimental group adopted the model of death with dignity in hospice care treatment. The treatment abandonment and family satisfaction of the two groups were compared. Results: In the experimental group, there were 59 patients who chose to give up the treatment. In the control group, only 27 patients chose to give up treatment. The difference of the two groups had statistically significant (Plt;0.05). The satisfaction of the patients in the experimental group was higher than that of the control group and the difference was of statistical significance (Plt;0.05). Conclusion: Education of death with dignity in hospice care not only can reduce the suffering of patients and the burden of family members, but also help to reduce the unnecessary waste of medical resources. Therefore it is worthy of clinical application. Key wordsHospice care;Death with dignity;Dying patients;Doctor-patient relationship 我国恶性肿瘤发病率逐年上升，对晚期恶性肿瘤患者经过手术、放化疗及姑息治疗后进入临终阶段，心理行为与态度发生了变化，产生了对治疗的不满，无