基于家庭医生制服务开展社区居家舒缓疗护的效果研究

目的探讨在家庭医生制基础上开展社区居家舒缓疗护服务的效果。方法选择本社区服务中心18例临终患者在家庭医生制基础上开展居家舒缓疗护,比较干预前后患者对该服务的满意度。并针对居家舒缓疗护实践过程遇到的现实问题提出合理建议。结果在社区开展以家庭医生制为基础的居家舒缓疗护模式,社区居民更容易接受。可以提高临终患者生命质量,也能帮助其家属和家庭平稳地度过居丧期,凸显了人文关怀。结论在家庭医生制基础上开展社区居家舒缓疗护切实可行,值得推广。但仍面临社区舒缓疗护人员队伍建设不足、资金匮乏、居民认知度低等问题,需加大队伍建设和培训、资金的更多合理投入和社会的多方支持、关注。

Study on the effect of home-based palliative care based on family doctor system

Objective To discuss the services effect of community home-based palliative care based on family doctor system.Method 18 hospice patients in our community service center were selected to carry out palliative care at home on the basis of family doctor system, the satisfaction of the patients before and after the intervention was compared.In view of the practical problems encountered in the practice of palliative care at home, some reasonable suggestions are put forward.Result Community based palliative care model based on family doctor system is more acceptable to community residents.It can improve the quality of life of dying patients, and also help their families and families smoothly through the mourning period.It's highlights the legislation of the humanistic care.Conclusion To carry out community home based palliative care based on the doctor system is feasible, and is worth promoting.But still faced with the problem of lack of team construction, lack of funds, low awareness of residents.Also need to increase the team building and training, more reasonable funding and social support.