Bollig Georg, Brandt Frans, Ciurlionis Marius, Knopf Boris
Palliative Care Team, Medical Department Sønderborg/Tønder, South Jutland Hospital, 6400 Sønderborg, Denmark.
Medical Research Unit, Institute of Regional Health Research, University of Southern Denmark, 6200 Aabenraa, Denmark.
Healthcare (Basel). 2019 Jan 28;7(1):19. doi: 10.3390/healthcare7010019.
Due to demographic changes, the need for palliative care in the community and at home is expected to rise in the coming years. The care that is given by family members and general practitioners plays a vital role in basic palliative care. Knowledge in palliative care is very limited or totally absent in most communities, and information about the effects of educational procedures in teaching non-professionals in basic palliative care is sparse. In the Last Aid course, the public knowledge approach and the initial experiences from the implementation process are described. In addition, a review of the literature on educational efforts regarding palliative care for non-professionals and the existing literature on Last Aid courses is provided. An international working group has established a curriculum for Last Aid courses based on four teaching hours (45 minutes each). The feasibility of Last Aid courses for the public has been tested in pilot courses. The experiences with Last Aid courses in different countries are overall very positive. Last Aid courses are well-attended. The evaluation of questionnaires in a German pilot study has shown a favorable response. Last Aid courses may form the educational basis of compassionate communities, and are well-suited to inform the public about palliative care and end-of-life care.
由于人口结构的变化，预计在未来几年社区和家庭对姑息治疗的需求将会增加。家庭成员和全科医生提供的护理在基本姑息治疗中起着至关重要的作用。在大多数社区，姑息治疗方面的知识非常有限或完全缺乏，而且关于教育程序在向非专业人员传授基本姑息治疗方面效果的信息也很少。在“临终急救”课程中，描述了公众知识方法以及实施过程中的初步经验。此外，还提供了关于针对非专业人员的姑息治疗教育努力的文献综述以及现有的关于“临终急救”课程的文献。一个国际工作组基于四个教学课时（每个课时45分钟）制定了“临终急救”课程的教学大纲。“临终急救”课程面向公众的可行性已在试点课程中进行了测试。在不同国家开展“临终急救”课程的总体经验非常积极。“临终急救”课程的参与度很高。德国一项试点研究中的问卷调查评估显示了良好的反馈。“临终急救”课程可能构成富有同情心的社区的教育基础，并且非常适合向公众宣传姑息治疗和临终关怀。
