摘要
目的分析社区卫生服务中心安宁疗护服务内容开展现况,为进一步完善社区安宁疗护服务内容奠定基础。方法通过文献回顾的方式,制定访谈提纲。于2017年3-4月,基于判断抽样法,邀请10家上海市安宁疗护试点单位,对每家单位的安宁疗护关键执行人代表进行集体半结构化访谈,访谈内容主要涉及访谈对象及其单位基本情况,和所在单位在开展的安宁疗护服务内容。将访谈结果编码、分析,转换成描述性语言,应用频数法统计分析社区安宁疗护项目的开展比例。结果10家社区卫生服务中心正在开展的安宁疗护服务的类别基本一致,共涉及早期识别、积极评估、生理支持、心理支持和社会支持五大类。10家社区共开展56个服务项目,其中有41个服务项目已在全部10家社区得到开展,另有15项服务目前仅在部分社区得到开展。且对于同样的服务项目,各社区的服务内涵也存在差异。结论10家社区卫生服务中心基本代表了上海市所有社区安宁疗护试点单位的现况,其在开展的安宁疗护服务内容,基本反映了上海市安宁疗护内容开展现况;上海市社区安宁疗护服务类别齐全,但服务内容与现有的国家规范文件存在差异;且各试点单位的服务内容差异提示了社区在安宁疗护服务能力、服务规范性、法律保障方面还有待进一步完善。
Objective To improve the community palliative care services by analyzing the current status of the contents of palliative care services that have been carried out in community health service centers(CHSC).Methods We conducted semi-structured interviews to key palliative care executives in 10 CHSC of palliative care pilot units in Shanghai through the method of judgment sampling from March 2017 to April 2017.The outline for the interview was developed through the way of literature review.The contents of the interview included the basic situation of interviewees and their workplace,and the contents of palliative care services carried out in the unit of interviewees.The results of the interviews were coded,analyzed,and converted into descriptive language.The proportions of palliative care services carried out in CHSC were analyzed by the frequency method.Results The palliative care services carried out in 10 CHSC could be divide into the identical five categories:early screening,positive evaluation,physiological support,psychological support and social support.Fifty-six service contents were carried out in 10 CHSC,of which 41 contents had been carried out in all 10 communities,and others were currently only being carried out in some CHSC.There were many differences in service connotation for the same service contents that carried out in each CHSC.Conclusion For the palliative care services carried out in CHSC in Shanghai,its categories are complete,its contents reflect the current situation of palliative care in Shanghai but are different from the ones in the current national regulatory documents.The differences in the service content of the pilot units suggest that the CHSC should further improve its service ability,service standardization and legal protection of palliative care services.
作者
张瑞云
缪俊
沈天寒
曹文群
ZHANG Rui-yun;MIAO Jun;SHEN Tian-han(Jing'an Temple Street Community Health Service Center,Shanghai 200040,China)
出处
《中华全科医学》
2019年第11期1876-1879,共4页
Chinese Journal of General Practice
基金
上海市中西医结合学会科研课题(2016SH47)
静安区卫生科研课题(2016SQ05)
静安区卫生计生系统第三批“十、百、千”人才培养项目(JWRC2014G22)
关键词
安宁疗护
社区卫生服务中心
服务内容
Palliative care
Community health service center
Service content
