Abstract:

The WHO calls for global healthcare workers to pay attention to hospice practice for non-cancer patients. Currently，domestic palliative care is mainly focused on cancer patients，and the practice and development in chronic disease populations such as cardiovascular disease is relatively weak. In recent years，palliative care for cardiovascular disease in Japan has been proven to be effective in relieving end-stage symptoms of patients with cardiovascular disease and improving the quality of life of patients and family members. The paper introduces the development history，scale and demand，team members and collaboration，intervention time，assessment and screening，service content and process，quality evaluation and dilemmas of palliative care for patients with cardiovascular disease in Japan，and proposes implications for the implementation of palliative care for patients with cardiovascular disease in China，in order to provide a reference for the development of palliative care for patients with cardiovascular disease.

Key words: Cardiovascular Disease, Palliative Care, Hospice Care

摘要：

WHO呼吁全球医疗保健工作者重视非癌症患者的安宁疗护实践，目前国内安宁疗护主要以癌症患者为中心，在心血管疾病等慢性病人群中的实践和发展相对薄弱。近年来，日本开展的心血管疾病安宁疗护经实践验证可有效缓解患者的终末期症状，提高患者及家庭成员的生活质量。该文介绍了日本心血管疾病患者安宁疗护的发展历程、规模及需求、团队成员及协作、介入时间、评估与筛查、服务内容与流程、质量评价及困境等，提出对国内心血管疾病患者实施安宁疗护的启示，为开展心血管疾病患者的安宁疗护提供借鉴。

关键词: 心血管疾病, 安宁疗护, 姑息护理