文章摘要
赵 静,王雪静,熊亚晴.老年患者临床诊疗中近亲属参与决策的伦理问题[J].南京医科大学学报(社会科学版),2020,(3):237~240
老年患者临床诊疗中近亲属参与决策的伦理问题
Analysis of the ethic problems of participation of the close relatives in elderly patients’ medical decision⁃making
投稿时间:2019-08-05  
DOI:10.7655/NYDXBSS20200307
中文关键词: 伦理问题  医患沟通  近亲参与
英文关键词: ethic problems  doctor⁃patient communication  close relatives’ participation
基金项目:江苏省医院协会医院管理创新研究项目“临床决策伦理模式从知情同意提升为医患共同决策对促进医患互信效果研究”(JSYGY-3-2018-324)
作者单位
赵 静 江苏省省级机关医院/南京医科大学附属老年医院伦理委员会 教学办公室 江苏 南京 210024 
王雪静 江苏省省级机关医院/南京医科大学附属老年医院科教科 江苏 南京 210024 
熊亚晴 江苏省省级机关医院/南京医科大学附属老年医院院部江苏 南京 210024 
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中文摘要:
      老年人存在年龄大、共病多、身体机能整体下降的情况,在疾病的临床诊疗过程中,由于医学常识不足、沟通不够顺畅以及家庭经济状况或成员组成等因素的影响,很多受疾病困扰的老年患者可能存在不能顺利或自主作出医疗决策的问题或困难。文章阐述了医学伦理学在医疗决策中的意义,分析了临床中常见的医疗决策模式,从医学伦理学视角探讨老年患者在就医或疾病诊治过程中近亲属参与决策的现状。提出老年患者近亲属参与医学决策的必要性以及面临的伦理问题,并针对这些伦理问题提出相应的对策建议,以期能够帮助老年人解决实际困难,改善当前的医患关系,从而使老年人在就医中感受到人文关怀,真正实现社会的文明和谐。
英文摘要:
      The elderly show the characteristics of aging, comorbidity and physical decline. Due to lack of common medical knowledge,poor communication and poor economic condition or family composition, the elderly patients suffering from the diseases can not have effective communication with the doctors or can not make the medical decision by themselves. This paper explained the ethics significance in medical decision?making, and analyzed the common models of medical decision?making. The paper also explored the status of close relatives’participation in medical decision?making for the elderly at the view of ethic. The necessity of close relatives’ in medical decision?making for the elderly was proposed and the ethical problems in the process were analyzed. The countermeasures and suggestionson of the ethic problems were submitted which is expected to help the elderly patients solve the difficulty, to improve the relationship between the doctors and the patients and to realize the civilization and harmony of the society.
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