安宁疗护在县域医疗机构中的临床实践探索——安心卡联合灵性教育在晚期肝癌患者的安宁疗护应用实践1例

Exploration of Clinical Practice in Palliative Care at County-Level Medical Institutions—A Case Study on the Application of the Anxin Card Combined with Spiritual Education in Palliative Care for a Patient with Advanced Liver Cancer

摘要: 随着医学模式的转变，对于无法治愈的晚期恶性肿瘤患者，安宁疗护已成为现代医疗体系中不可或缺的一环。安宁疗护以终末期患者和家属为服务对象，以多学科协作模式进行实践，旨在提升生命质量、维护生命尊严。但目前我国安宁疗护体系仍处在发展阶段，尤其县域医疗机构仍面临较大挑战。本文通过1例在晚期原发性肝癌患者中运用安心卡联合灵性教育了解其临终心愿、增强患者的生命信念，来探讨安宁疗护的核心理念、实践内容，探索其在县域医疗机构的临床实践，为同级别医疗机构提供临床参考价值。

Abstract: With the transformation of medical models, palliative care has become an indispensable part of the modern healthcare system for patients with incurable advanced malignant tumors. Palliative care targets terminally ill patients and their families, adopting a multidisciplinary collaborative approach in practice, aiming to enhance the quality of life and uphold the dignity of life. However, the palliative care system in China is still in its developmental stage, with county-level medical institutions facing significant challenges. This article explores the core concepts and practical content of palliative care by utilizing a case study of a patient with advanced primary liver cancer, where the “Anxin Card” was combined with spiritual education to understand the patient’s end-of-life wishes and strengthen their life beliefs. It also investigates the clinical application of palliative care in county-level medical institutions, providing clinical reference value for institutions at the same level.