本文選題：臨終關(guān)懷 + 本土化��； 參考：《華中師范大學(xué)》2015年碩士論文

【摘要】：臨終關(guān)懷由宗教衍生而來(lái),其與生俱來(lái)的人道主義精神和對(duì)生命的尊重,使之成為人類社會(huì)最具人性化的進(jìn)化成果之一。隨著武漢市經(jīng)濟(jì)社會(huì)發(fā)展,老齡化程度加深,人口、家庭結(jié)構(gòu)變動(dòng)和市民疾病譜的變化,臨終關(guān)懷逐漸成為社會(huì)的迫切需要,有廣闊的發(fā)展前景。雖然臨終關(guān)懷初引入武漢市時(shí)就受到了廣泛的關(guān)注,社會(huì)各界對(duì)臨終關(guān)懷都抱有極高的熱情,但近幾年臨終關(guān)懷在我市的發(fā)展陷入瓶頸,目前我市臨終關(guān)懷服務(wù)中,普遍存在著服務(wù)接受度不高,服務(wù)質(zhì)量缺乏保障,資金缺口大,機(jī)構(gòu)運(yùn)作困難,服務(wù)與需求不匹配等現(xiàn)象。本文選擇文獻(xiàn)分析與深度訪談相結(jié)合的方法,介紹了臨終關(guān)懷在武漢市的發(fā)展進(jìn)程和現(xiàn)狀,針對(duì)發(fā)展過(guò)程中存在的問(wèn)題和服務(wù)對(duì)象的需求進(jìn)行分析,發(fā)現(xiàn)武漢現(xiàn)有的臨終關(guān)懷服務(wù)機(jī)構(gòu)或是獨(dú)立性受限,或是人員配備不齊,或是服務(wù)不夠全面。因此,筆者在借鑒港臺(tái)地區(qū)和國(guó)外成功經(jīng)驗(yàn)的基礎(chǔ)上,結(jié)合武漢市具體情況,提出了構(gòu)建社區(qū)寧養(yǎng)院模式或有助于我市的臨終關(guān)懷發(fā)展走出瓶頸。本文的研究發(fā)現(xiàn)是提出構(gòu)建社區(qū)寧養(yǎng)院模式。從臨終關(guān)懷的三個(gè)層次來(lái)看,作為一項(xiàng)服務(wù),該模式采用專業(yè)團(tuán)隊(duì)合作服務(wù)形式,建立前期、中期和后期評(píng)估體系,為患者和家屬構(gòu)建社會(huì)支持系統(tǒng),提高服務(wù)水平、保證服務(wù)質(zhì)量；作為一門學(xué)科,該模式搭建了一個(gè)專業(yè)平臺(tái),促進(jìn)相關(guān)學(xué)科和領(lǐng)域的交流與發(fā)展,并以此為中心宣傳臨終關(guān)懷理念,推廣生死教育,普及寧養(yǎng)知識(shí),推動(dòng)臨終關(guān)懷專業(yè)教育發(fā)展；作為一類機(jī)構(gòu),該模式引入市場(chǎng)機(jī)制,依靠充足的資金支持和完整的資本循環(huán),運(yùn)用科學(xué)的管理制度、靈活的運(yùn)作模式、規(guī)范的行業(yè)標(biāo)準(zhǔn),實(shí)現(xiàn)機(jī)構(gòu)自身的良性循環(huán)和可持續(xù)發(fā)展,極大的彌補(bǔ)了本地現(xiàn)有模式的不足。通過(guò)對(duì)臨終關(guān)懷模式的研究,能從理論上豐富現(xiàn)有的服務(wù)模式,總結(jié)出更多寶貴的發(fā)展經(jīng)驗(yàn),為實(shí)務(wù)中完善臨終關(guān)懷服務(wù)體系、發(fā)展臨終關(guān)懷專業(yè)化教育提供參考性建議。
[Abstract]:Hospice is derived from religion, and its inherent humanitarianism and respect for life make it one of the most humanized evolutionary achievements in human society. With the development of economy and society, the deepening of aging, the change of population, family structure and disease spectrum, hospice care has become the urgent need of the society and has a broad development prospect. Although the hospice was widely paid attention to when it was introduced into Wuhan at the beginning, all circles of the society have a high enthusiasm for the hospice, but in recent years, the development of hospice in our city has been in a bottleneck. At present, the hospice service in our city, There are many problems, such as low service acceptance, lack of guarantee of service quality, large fund gap, difficult operation of institutions, mismatch between service and demand, and so on. This paper chooses the method of combining literature analysis with in-depth interview, introduces the development process and present situation of hospice care in Wuhan, and analyzes the problems existing in the process of development and the needs of service objects. It is found that the existing hospice care institutions in Wuhan are either limited in their independence, inadequately staffed or inadequately served. Therefore, based on the successful experiences of Hong Kong and Taiwan and foreign countries, the author puts forward the idea of constructing the mode of community nursing home or helping the development of hospice out of the bottleneck. The research findings of this paper is to build a community rather hospital model. From the three levels of hospice care, as a service, this model adopts the form of professional team cooperation service, establishes pre-, medium-term and post-evaluation system, constructs social support system for patients and family members, and improves the service level. As a discipline, the model has set up a professional platform to promote the exchange and development of related disciplines and fields, and to promote the concept of hospice care, to promote education on life and death, and to popularize the knowledge of hospice care. To promote the development of hospice care education; as a class of institutions, this model introduces market mechanisms, relies on adequate financial support and a complete capital cycle, uses scientific management systems, flexible operating models, and standardized industry standards, Realize the virtuous circle and sustainable development of the organization itself, make up the deficiency of the local existing mode greatly. Through the research on the mode of hospice care, it can enrich the existing service mode theoretically, sum up more valuable development experience, and provide reference suggestions for perfecting the service system of hospice care and developing specialized education of hospice care in practice.
【學(xué)位授予單位】：華中師范大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R48

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本文編號(hào)：2013167