对临终关怀期患者家属心理支持的探索

我国已经加速进入老龄化社会,与之相适应的医疗养老卫生服务的需求也大大增加。介于昆明市社会福利院福利医院"医养结合"的性质和"生物-心理-社会"现代医学模式理念,心理科开展了临终关怀的临床实践。对于老年患者的躯体疾病的支持治疗是主要医护服务,同时对患者家属的心理支持也是工作的重要部分。经过临床心理科医护人员长期的临床工作,总结和发展出的适合临终老年患者家属的心理支持服务,逐渐探索形成了比较成熟的模式和经验,得出如下结论：对临终关怀期患者家属的心理支持非常具有必要性、可行性和重要性,能有效的提高临床服务水平和医患沟通的满意度。同时为了促进临终关怀服务的发展,临终关怀服务需要医学、护理学、心理学、社会学、法学、伦理学、教育学等多学科的共同参与。

Exploration of psychological support for family members of patients in hospice period

China has now entered into the aging acceleration period, and the demand for medical care, elderly care, and health services is also greatly increased. In view of the nature of the "combination of medical treatment and care" and the modern medical model of "the combination of biological treatment and psychological treatment" in our hospital, our department has carried out clinical practice on hospice care. Supportive treatment of physical diseases in the elderly is our primary care service, while psychological support for family members is also an important part of our work. The medical staff in our department summarize and develop psychological support services for the dying elderly family members in the long-term clinical work, gradually developing a mature model and drawing the following conclusion: psychological support of hospice patients and their families is very necessary, feasible, and important and can be very effective to improve our service levels and clinician-patient communication. At the same time, hospice care services need the participation of doctors of many disciplines such as medicine, sociology, law, ethics, psychology, and pedagogy to promote the development of hospice care.