Objective To summarize the experience of integrative palliative care at Peking Union Medical College Hospital and provide a reference for promoting the integrative palliative care model. Methods Twenty cases receiving integrative palliative care at Peking Union Medical College Hospital were collected.The clinical characteristics,reasons for initiating integrative palliative care,the process of integrative palliative care,and feedback from these cases were summarized. Results Insomnia (11 cases,55%) and pain (9 cases,45%) were the most common symptoms requiring control in the 20 cases.The integrative palliative care team assisted in medical decision-making for 17 cases (85%),prepared end-of-life for 9 cases (45%),assisted in the transfer for 3 cases (15%),and provided comfort care for all the 20 cases (100%). Conclusions The integrative palliative care model can help alleviate suffering in end-of-life patients and provide support to patients' families and the original medical teams.This model is worth further promotion within class A tertiary hospitals.
目的 总结北京协和医院缓和医疗共同管理的经验,为进一步推广缓和医疗共同管理模式提供参考。方法 收集北京协和医院20例缓和医疗团队和原医疗团队共同管理的病例。总结这些病例的临床特点、启动共同管理的原因、具体过程与反馈情况。结果 20例患者中,失眠(11例,55%)、疼痛(9例,45%)为最常见需要控制的症状。共同管理团队帮助17例(85%)进行医疗决策、9例(45%)进行离世准备,协助3例(15%)进行转诊,并为20例(100%)提供舒适护理。结论 缓和医疗共同管理模式可以帮助终末期患者减轻痛苦,并给患者家属和原医疗团队提供支持。该模式值得在三甲医院内进一步推广。.
Keywords: integrative palliative care; shared decision-making; symptom control.