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[什么是现代临终关怀与姑息医学?]

[What is modern hospice care and palliative medicine?].

作者信息

Júsić A

出版信息

Lijec Vjesn. 1995 May-Jun;117(5-6):146-9.

PMID:8600328
Abstract

Hospice/palliative care, as the World Health Organization has recognized, is the active, total care of patients whose disease no longer responds to curative treatment, and for whom the goal must be the best quality of life for them and their families. St. Christopher's hospice London, the first modern hospice institution was founded by Dame Cicely Saunders in 1967. The fundamental principles are: stressing the value and dignity of any single human being, especially during his last period of life and continuing morphine analgesia given at regular intervals for full pain control. Since then Hospice has become a worldwide philosophy adapting to the needs of different cultures and settings--hospital, hospice and community--and is established in six continents. The number of books, journals, academies, instituts, international and national congresses and meetings is increasing steadily. At Croatia, during May 1994 in Zagreb, the First Croatian Hospice/Palliative Care Symposium was held. During the autumn of the same year the Croatian Hospice/Palliative Care Society was founded. The society has regular meetings and intends to organize the Second Croatian Hospice/Palliative Care Symposium with international contributions in September this year. Many articles and books are in print or prepared for print. The point is on the hospice workers education and organization of the first stationary hospice unit. The fundamental problem will be solved when our society will accept that hospice/palliative medicine is an imperative of actual moment and the part of croatian inclusion into european or worldwide trends. The acceptance of palliative medicine is the acceptance of new medicine directed to the whole man and his surroundings, instead of involving only single or two diseases.

摘要

正如世界卫生组织所认可的,临终关怀/姑息治疗是对那些疾病已无法通过治愈性治疗得到缓解的患者进行的积极、全面的护理,其目标必须是让患者及其家人获得最佳生活质量。伦敦圣克里斯托弗临终关怀院是第一家现代临终关怀机构,由西塞莉·桑德斯女爵士于1967年创立。其基本原则是:强调每个人的价值和尊严,尤其是在其生命的最后阶段,并定期持续给予吗啡镇痛以完全控制疼痛。从那时起,临终关怀已成为一种适应不同文化和环境(医院、临终关怀院和社区)需求的全球理念,并在六大洲得以确立。相关的书籍、期刊、学术团体、机构、国际和国家大会及会议的数量在稳步增加。1994年5月在克罗地亚萨格勒布举行了第一届克罗地亚临终关怀/姑息治疗研讨会。同年秋天,克罗地亚临终关怀/姑息治疗协会成立。该协会定期举行会议,并打算在今年9月组织第二届克罗地亚临终关怀/姑息治疗研讨会,届时将有国际人士参与。许多文章和书籍已出版或正在准备出版。重点在于临终关怀工作者的教育以及首个固定临终关怀单元的组织建设。当我们的社会接受临终关怀/姑息医学是当下的一项迫切需求,且是克罗地亚融入欧洲或全球趋势的一部分时,这个根本问题将得到解决。接受姑息医学意味着接受一种针对整个人及其周围环境的新医学,而不仅仅涉及一两种疾病。

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