临床护士为终末期患者实施安宁疗护的体验

Clinical Nurses’ Experience in Hospice Care for Terminal Patients

摘要: 目的：了解中国死亡质量指数现状，安宁疗护在改善患者死亡质量中的作用以及临床护士为终末期患者实施安宁疗护过程中所遇到的困难，需要哪些支持来完善，为更顺利的推广安宁疗护在临床上的应用提供参考。方法：采用滚雪球抽样法，选取12名为终末期患者实施过安宁疗护的临床护士进行半结构式访谈，采用主题分析法分析资料。结果：为终末期患者实施安宁护理的过程中，临床护士的体验包括临床护理工作的护理架构转型、探索历程、发展瓶颈、资源需求4个主题。结论：安宁疗护面对诸多挑战，需要来自社会，交叉学科，患者家庭，临床医护人员层面的支持，才能确保安宁疗护顺利开展。

Abstract: Objective: To understand the current status of the death quality index in China, the role of palliative care in improving the quality of patients’ death, the difficulties encountered by clinical nurses in the process of providing palliative care to terminally ill patients, and the support needed for improvement, so as to provide a reference for the smoother promotion of the clinical application of palliative care. Methods: Using the snowball sampling method, 14 clinical nurses who had provided palliative care to terminally ill patients were selected for semi-structured interviews, and the data were analyzed by thematic analysis. Results: In the process of providing palliative care to terminally ill patients, the experiences of clinical nurses included four themes: transformation of the nursing framework in clinical nursing work, exploration process, development bottlenecks, and resource requirements. Conclusion: Palliative care faces many challenges and requires support from society, interdisciplinary fields, patients’ families, and clinical medical staff to ensure its smooth implementation.