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缓和医疗中的伦理学问题

张迪 毕可嘉 徐士婷

协和医学杂志2024,Vol.15Issue(1):24-31,8.
协和医学杂志2024,Vol.15Issue(1):24-31,8.DOI:10.12290/xhyxzz.2023-0578

缓和医疗中的伦理学问题

Ethical Issues in Palliative Care

张迪 1毕可嘉 2徐士婷2

作者信息

  • 1. 中国医学科学院北京协和医学院 人文和社会科学学院, 北京 100730||中国医学科学院北京协和医学院 生命伦理学研究中心, 北京 100730
  • 2. 中国医学科学院北京协和医学院 护理学院, 北京 100730
  • 折叠

摘要

Abstract

With the transformation of medical philosophy,palliative care has become a fundamental component of end-of-life care for patients with life-threatening illnesses,meanwhile ethical issues involved in palliative care are becoming more prominent.This article,through a comprehensive review of both domestic and international ethical research,articulates five crucial ethical issues inherent to palliative care:truth-tell-ing,advance care planning,the use of life-sustaining interventions,palliative sedation,and the relationship between euthanasia,assisted dying,and palliative care.The objective is to offer an ethical perspective for palliative care,help professionals in palliative care to address the critical ethical issues in practice,improve the quality of care for patients and their families,and to inform the development of related legal,regulatory,and policy frameworks.

关键词

缓和医疗/伦理/维生干预/缓和镇静/生前预嘱

Key words

palliative care/ethics/life-sustaining intervention/palliative sedation/advanced care planning

分类

医药卫生

引用本文复制引用

张迪,毕可嘉,徐士婷..缓和医疗中的伦理学问题[J].协和医学杂志,2024,15(1):24-31,8.

基金项目

Peking Union Medical College 2023 Special Funds for Educational Teaching Reform in Central Universities(2023zlgl056) 北京协和医学院 2023 年中央高校教育教学改革专项资金支持项目(2023zlgl056) (2023zlgl056)

协和医学杂志

OA北大核心CSTPCD

1674-9081

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