预立医疗照护计划在肿瘤患者中的应用进展

doi:10.3761/j.issn.0254-1769.2019.02.029

摘要/Abstract

摘要：

随着医疗服务模式的转变,肿瘤患者终末期的生活质量逐渐受到重视。该文对预立医疗照护计划（advance care planning,ACP）的发展、ACP在肿瘤患者中的应用、实施ACP注意事项等进行综述,为国内开展ACP研究与实践提供参考。

关键词: 预立医疗照护计划, 预立医疗指示, 姑息疗法, 综述

Key words: Advance Care Planning, Advance Directives, Palliative Care, Review

王心茹,绳宇. 预立医疗照护计划在肿瘤患者中的应用进展[J]. 中华护理杂志, 2019, 54(2): 306-310.

参考文献 44

[1]	陈万青, 孙可欣, 郑荣寿 , 等. 2014年中国分地区恶性肿瘤发病和死亡分析[J]. 中国肿瘤, 2018,27(1):1-14.
[2]	Kaspers PJ, Onwuteakaphilipsen BD, Deeg DJ , et al. Decision-making capacity and communication about care of older people during their last three months of life[J]. BMC Palliat Care, 2013,12(1):1. DOI
[3]	陆宇晗 . 我国安宁疗护的现状及发展方向[J]. 中华护理杂志, 2017,52(6):659-664. DOI URL
[4]	刘梦婕, 朱京慈 . “不再心肺复苏”在ICU的应用进展[J]. 中华护理杂志, 2016,51(5):613-617. DOI URL
[5]	Silvester W, Parslow RA, Lewis VJ , et al. Development and eva-luation of an aged care specific advance care plan[J]. BMJ Sup-port Palliat Care, 2013,3(2):188-195. DOI URL PMID
[6]	Detering KM, Hancock AD, Reade MC , et al. The impact of advance care planning on end of life care in elderly patients:randomised controlled trial[J]. BMJ, 2010,340(7751):847. DOI URL PMID
[7]	李宇芳, 邹剑莹, 骆坚 , 等. 医护患对实施预立医疗照护计划的态度及影响因素调查[J]. 护理学报, 2014,21(16):21-24.
[8]	石作荣, 宋洁, 杜静 . 对医护人员晚期老年痴呆患者预立医疗照护计划的态度调查[J]. 中华现代护理杂志, 2016,22(3):304-308. DOI URL
[9]	Curd PR . Advance care planning reconsidered:toward an operational definition of outpatient advance care planning[J]. J Pal-liat Med, 1999,2(2):157-159. DOI URL PMID
[10]	Government of Canada. Advance care planning:the glossary project-final report[EB/OL].( 2006 -08-25).
[11]	British Columbia Ministry of Health. My voice-expressing my wishes for future health care treatment[EB/OL].( 2013 -02-01).
[12]	Sudore RL, Lum HD, You JJ , et al. Defining advance care planning for adults:a consensus definition from a multidisciplinary delphi panel[J]. J Pain Symptom Manage, 2017,53(5):821-832. DOI URL PMID
[13]	State of Victoria, Department of Health. Advance care planning:have the conversation a strategy for Victorian health services 2014-2018[EB/OL]. [2018-06-21].
[14]	Department of Health and Human Services Centers for Me-dicare & Medicaid Services. Advance care planning[EB/OL].[2018-06-21].
[15]	Department of Health. End of life care strategy:promoting high quality care for all adults at end of life[EB/OL].[2018-06-21]. .
[16]	Department of Health. Gold standards framework[EB/OL].[2018-06-21]. .
[17]	Advance Care Planning Australia. Advance care planning australia program[EB/OL].[2018-06-21]. .
[18]	张斌 . 台湾《安宁缓和医疗条例》的通过及随想——台湾的安宁疗护介绍之二[J]. 医学与哲学, 2004,25(12):75.
[19]	余同笑, 田侃, 周城义 . 对台湾地区"病人自主权利法"的评述及启示[J]. 医学与哲学, 2017,38(15):71-73. DOI URL
[20]	李欣慈, 鄭淑貞, 黃川芳 , 等. 華人儒、釋、道文化觀點探討台灣護理之家老年住民簽署自身預立醫療指示文件的現況與困境[J]. 安寧療護雜誌, 2015,20(2):154-165.
[21]	Hui E . Introducing the use of advance care planning and advance directive in Hong Kong[J]. Advance Directives Consultation Paper, 2010,3(15):29-30.
[22]	Sudore RL, Knight SJ, Mcmahan RD , et al. A novel website to prepare diverse older adults for decision making and advance care planning:a pilot study[J]. J Pain Symptom Manage, 2014,47(4):674-686. DOI URL PMID
[23]	Cresswell MA, Robinson CA, Fyles G , et al. Evaluation of an advance care planning web-based resource:applicability for cancer treatment patients[J]. Support Care Cancer, 2018,26(3):853-860. DOI URL PMID
[24]	Sabatino, Charles P . Six key steps of advance care planning,Bifocal[EB/OL].[2018-06-21]..
[25]	刘晓红 . 开展老年安宁缓和医疗之管见[J]. 中国临床保健杂志, 2017,20(6):625-628. DOI URL
[26]	Chris Shanley . Guidelines for staff in initiation and conduct of ACP discussions[EB/OL].[2018-06-21]..
[27]	Conroy S, Fade P, Fraser A , et al. Advance care planning:concise evidence-based guidelines[J]. Clinical Medicine, 2009,9(1):76. DOI URL PMID
[28]	張婷 . 臺灣與美國預立醫療照護諮商特色之比較研究[J]. 法學論著, 2018,69(5):59-73.
[29]	Barnes KA, Barlow CA, Harrington J , et al. Advance care plan-ning discussions in advanced cancer:analysis of dialogues between patients and care planning mediators[J]. Palliat Sup-port Care, 2011,9(1):73. DOI URL PMID
[30]	Black K . Advance directive communication:nurses’ and social workers’ perceptions of roles[J]. Am J Hosp Palliat Care, 2006,23:175-184. DOI URL PMID
[31]	Oorschot BV, Schuler M, Simon A , et al. Advance directives:prevalence and attitudes of cancer patients receiving radiotherapy[J]. Support Care Cancer, 2012,20(11):2729-2736. DOI URL PMID
[32]	Schrijvers D, Cherny NI . ESMO clinical practice guidelines on palliative care:advanced care planning[J]. Ann Oncol, 2014,25(Suppl 3):138-142. DOI URL PMID
[33]	Robinson CA . “Our best hope is a cure.”Hope in the context of advance care planning[J]. Palliat Support Care, 2012,10(2):75-82. DOI URL PMID
[34]	王淑貞, 范聖育, 章淑娟 , 等. 推動預立醫療自主計畫之宣導-初探[J]. 安寧療護雜誌, 2013,18(2), 129-141.
[35]	Emanuel LL, Danis M, Pearlman RA , et al. Advance care plan-ning as a process:structuring the discussions in practice[J]. J Am Geriatr Soc, 1995,43(4):440-446. DOI URL PMID
[36]	田彩英 . 協助一位肺癌末期患者接受安寧照護之護理經驗[J]. 彰化護理, 2016,23(1):26-37.
[37]	Meier DE, Fuss BR, O’Rourke D ,et al. Marked improvement in recognition and completion of health care proxies[J]. Arch Intern Med, 1996,156(11):1227-1232. DOI URL
[38]	Hermann H, Trachsel M, Mitchell C , et al. Medical decision-making capacity:knowledge,attitudes,and assessment practices of physicians in Switzerland[J]. Swiss Med Wkly, 2014,144:w14039. DOI PMID
[39]	Singer PA, Martin DK, Lavery JV , et al. Reconceptualizing ad-vance care planning from the patient’s perspective[J]. Arch In-tern Med, 1998,158(8):879-884.
[40]	Davison SN . Facilitating advance care planning for patients with end-stage renal disease:the patient perspective[J]. Clin J Am Soc Nephrol, 2006,1(5):1023-1028. DOI URL PMID
[41]	Davison SN, Simpson C . Hope and advance care planning in patients with end stage renal disease:qualitative interview study[J]. BMJ, 2006,333(7574):886. DOI URL PMID
[42]	邓仁丽, 陈柳柳, 史宝欣 , 等. 中国文化背景下预立医疗照护计划的研究进展[J]. 中华护理杂志, 2015,50(9):1117-1121. DOI URL
[43]	王粲霏, 贾会英, 吴珂 , 等. 多学科协作模式在安宁疗护中的应用研究进展[J]. 中华护理杂志, 2018,53(7):866-871. DOI URL
	Samanta A, Samanta J . Advance care planning:the role of the nurse[J]. Br J Nurs, 2010,19(16):1060-1061.
[44]	Tulsky JA . Beyond advance directives:importance of communi-cation skills at the end of life[J]. JAMA, 2005,294(3):359-365. DOI URL

预立医疗照护计划在肿瘤患者中的应用进展

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