于世英. 缓和医疗存在的争议[J]. 协和医学杂志, 2024, 15(1): 37-41. DOI: 10.12290/xhyxzz.2023-0537
引用本文: 于世英. 缓和医疗存在的争议[J]. 协和医学杂志, 2024, 15(1): 37-41. DOI: 10.12290/xhyxzz.2023-0537
YU Shiying. Controversies About Palliative Care[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(1): 37-41. DOI: 10.12290/xhyxzz.2023-0537
Citation: YU Shiying. Controversies About Palliative Care[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(1): 37-41. DOI: 10.12290/xhyxzz.2023-0537

缓和医疗存在的争议

Controversies About Palliative Care

  • 摘要: 关于缓和医疗, 一直以来主要存在两方面争议: 一是缓和医疗照护对象范围是否应扩大, 二是缓和医疗的介入时机是否应提前。目前对于上述争议已达成的基本共识包括: 缓和医疗照护对象应扩大至身患严重疾病、遭受重大痛苦的所有年龄段患者; 缓和医疗应早期整合至严重疾病的治疗全过程。然而, 缓和医疗照护对象范围的扩大及介入时机的提前同时带来了新的挑战, 亟待制定新的战略计划并加以实施, 以加快探索适合我国国情的缓和医疗发展之路。重新认识缓和医疗照护对象及介入时机, 有助于加快我国缓和医疗的发展。本文从缓和医疗发展史、定义更新、现有证据及研究进展三方面, 结合临床实际需求, 针对该两大焦点问题展开论述, 以期为我国缓和医疗实践提供参考。

     

    Abstract: There are two controversies about palliative care. One is whether the scope of palliative care should be expanded, and the other is whether the timing of palliative care intervention should be advanced. Regarding the research progress of palliative care, there are currently two consensuses: the target population of palliative care should be expanded to all patients of all ages who suffer from serious illness and serious health-related suffering, palliative care interventions should be integrated into the whole treatment process of serious illness early. However, the expansion of the scope of palliative care targets and the advancement of the timing of intervention have brought new challenges, and there is an urgent need to formulate a new strategic plan and implement it, so as to accelerate the exploration of the development of palliative care that suits China's national conditions. A new understanding of the target group of palliative care and the timing of intervention will help accelerate the development of palliative care in China. This article analyzes and discusses the history, research progress, definition updates, and existing evidence of palliative care, as well as the clinical needs, aiming to provide a reference for the practice of palliative care in China.

     

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