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土耳其姑息治疗的现状:护士视角

The current status of palliative care in Turkey: a nurse's perspective.

作者信息

Elcigil Ayfer

机构信息

Oncology Nursing Department, School of Nursing, Dokuz Eylul University, Inciralti/Izmir, Turkey.

出版信息

J Pediatr Hematol Oncol. 2011 Apr;33 Suppl 1:S70-2. doi: 10.1097/MPH.0b013e318212244a.

Abstract

There has been a growing awareness for the need to develop a palliative care service in Turkey. But a significant proportion of the Turkey population still does not have access to palliative care. The majority of cancer patients are treated in university hospitals that have support units with pain specialists and medical oncologists. Some significant barriers to the development of palliative care nursing were identified: 1) Lack of palliative care education and training programs 2) Lack of certification for Palliative Care Nursing 3) There is very limited research about palliative care nursing 4) lack of public awareness and 4) shortage of nursing staff 5) the limited availability of/knowledge about opioid analgesics. Nurses have a unique and primary responsibility for advocating for the right of patients to maintain their quality of life for as long as possible and to experience a dignified and peaceful death. Continued efforts are needed to overcome these barriers to successful implementation of palliative and end-of-life care for patients with cancer.

摘要

在土耳其,人们越来越意识到有必要发展姑息治疗服务。但仍有相当一部分土耳其人口无法获得姑息治疗。大多数癌症患者在设有疼痛专家和医学肿瘤学家支持单位的大学医院接受治疗。人们发现了姑息治疗护理发展的一些重大障碍:1)缺乏姑息治疗教育和培训项目;2)缺乏姑息治疗护理认证;3)关于姑息治疗护理的研究非常有限;4)公众意识不足;5)护理人员短缺;6)阿片类镇痛药的供应/知识有限。护士在倡导患者尽可能长时间维持生活质量以及体面、安详地离世的权利方面负有独特的首要责任。需要持续努力克服这些障碍,以便为癌症患者成功实施姑息治疗和临终关怀。

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