成人安宁疗护患者多学科共同照护管理专家共识

doi:10.3761/j.issn.0254-1769.2026.01.007

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (1): 53-56.DOI: 10.3761/j.issn.0254-1769.2026.01.007

成人安宁疗护患者多学科共同照护管理专家共识

中华护理学会安宁疗护专业委员会（执笔：郭俊晨¹, 谌永毅¹^,^*(), 应文娟², 吕茵茵³, 赵云⁴, 强万敏⁵, 徐晓霞⁶, 胡永红¹）

1.湖南省肿瘤医院护理部长沙市 410013
2.汕头大学医学院汕头市 515041
3.清华大学附属北京清华长庚医院护理部北京市 102218
4.江苏省肿瘤医院护理部南京市 210009
5.天津市肿瘤医院护理部天津市 300060
6.河南省肿瘤医院护理部郑州市 450000

收稿日期:2025-03-31 出版日期:2026-01-10 发布日期:2026-01-04
*通讯作者: 谌永毅，E-mail：414700595@qq.com
基金资助:
湖南省肿瘤医院科研攀登计划重大专项和重点研发项目(YF2020010)

Expert consensus on shared care management for adult palliative care patients

Palliative Care Professional Committee of Chinese Nursing Association（Writing Committee：GUO Junchen¹, CHEN Yongyi¹^,^*(), YING Wenjuan², LÜ Yinyin³, ZHAO Yun⁴, QIANG Wanmin⁵, XU Xiaoxia⁶, HU Yonghong¹）

1. Department of Nursing，Hunan Cancer Hospital，Changsha 410013，China
2. Medical College，Shantou University，Shantou 515041，China
3. Department of Nursing，Beijing Tsinghua Changgung Hospital，Beijing 102218，China
4. Department of Nursing，Jiangsu Cancer Hospital，Nanjing 210009，China
5. Department of Nursing，Tianjin Medical University Cancer Institute & Hospital，Tianjin 300060，China
6. Department of Nursing，Henan Cancer Hospital，Zhengzhou 450000，China

Received:2025-03-31 Online:2026-01-10 Published:2026-01-04
* Corresponding author: CHEN Yongyi，E-mail：414700595@qq.com
Funding program:
Major Project and Key Research & Development Project of the Scientific Research Climbing Program of Hunan Cancer Hospital(YF2020010)

1. “成人安宁疗护患者多学科共同照护管理专家共识”全文.pdf(1256KB)

摘要/Abstract

摘要：

目的制订成人安宁疗护患者多学科共同照护管理专家共识（以下简称“共识”），以规范临床服务流程，推动安宁疗护的高质量开展。方法成立“共识”编写小组，系统检索国内外指南网站、相关专业学会网站及数据库，提取有关成人安宁疗护患者多学科共同照护管理的证据，形成“共识”初稿。2024年4月—2025年2月，通过2轮专家函询和2轮专家论证，对“共识”内容进行修改与完善，形成“共识”终稿。结果 2轮专家函询的有效问卷回收率分别为87.50%、94.29%，专家意见提出率为100%、81.82%，专家的权威系数均为0.88，肯德尔和谐系数为0.128、0.134（均P<0.001），各条目的重要性评分均数为4.54~4.97、4.73~5.00分，变异系数为0.03~0.20、0~0.13。最终形成的“共识”包括适用范围、术语和定义、基本要求、服务环境、服务团队、服务对象、服务流程、服务内容、质量控制9个方面的内容。结论该“共识”的科学性较强，可为国内成人安宁疗护患者多学科共同照护的规范管理提供指导。

关键词: 安宁疗护, 共同照护, 生命末期, 专家共识, 护理

Abstract:

Objective To develop an expert consensus on shared palliative care management for adults to standardize clinical service processes and promote the high-quality implementation of shared palliative care in China. Methods A consensus drafting group was established to systematically search international and domestic guideline websites and databases for relevant evidence on shared palliative care management for adults. Based on the evidence summary，a preliminary draft of the consensus was developed. From April 2024 to February 2025，a total of 2 rounds of expert Delphi consultations and 2 expert panel discussions were conducted to refine and improve the content based on expert opinions，ultimately forming the final version of the consensus. Results The effective questionnaire recovery rates of the 2 rounds of consultation were 87.50% and 94.29%； the expert opinion submission rates were 100% and 81.82%；the coefficient of expert authority was 0.88； the coefficients of Kendall harmony in 2 rounds were 0.128 and 0.134 （both P<0.001）； the mean importance scores of the items ranged from 4.54 to 4.97 and from 4.73 to 5.00，and the coefficients of variation ranged from 0.03 to 0.20 and from 0 to 0.13. The finalized consensus comprises 9 primary domains，including the scope，terms and definitions，fundamental requirements，service environment，service team，target population，service process，service content，and quality control. Conclusion The consensus demonstrates a high level of scientific rigor and provides a structured framework for the standardized implementation of shared palliative care management for adults in China.

Key words: Palliative Care, Shared Care, End of Life, Expert Consensus, Nursing Care

中华护理学会安宁疗护专业委员会（执笔：郭俊晨, 谌永毅, 应文娟, 吕茵茵, 赵云, 强万敏, 徐晓霞, 胡永红. 成人安宁疗护患者多学科共同照护管理专家共识[J]. 中华护理杂志, 2026, 61(1): 53-56.

Palliative Care Professional Committee of Chinese Nursing Association（Writing Committee：GUO Junchen, CHEN Yongyi, YING Wenjuan, LÜ Yinyin, ZHAO Yun, QIANG Wanmin, XU Xiaoxia, HU Yonghong. Expert consensus on shared care management for adult palliative care patients[J]. Chinese Journal of Nursing, 2026, 61(1): 53-56.

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成人安宁疗护患者多学科共同照护管理专家共识

Expert consensus on shared care management for adult palliative care patients

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