深圳市临终关怀现状及对策研究

发布时间：2018-02-26 12:35

本文关键词： 深圳市临终关怀现状对策　出处：《深圳大学》2017年硕士论文　论文类型：学位论文

【摘要】：中国严峻的人口老龄化趋势引起了国家的重视,政府相关部门频频通过出台相关政策以应对老年人不断增长的照护需求,而疾病谱的改变、家庭结构的变化以及人类主体意识的增强等问题也引发了各界专家人士不断探索应对方法。经国内外有关地区成功的实践经验表明,临终关怀作为一种旨在满足临终者终末期的照护需求、提升其生命质量,及协助家属度过沮丧期的全面照护手段,能够有效应对上述问题的出现,应该得到广泛的应用及推广。据研究,深圳现有的临终关怀服务无法满足临终者的照护需求,虽然还未进入人口老龄化阶段,但随着肿瘤等慢性疾病的蔓延、四二一家庭的增多以及随迁老人数量的增加等情况的出现,临终照护的需求将越来越大,迫切需要有志人士通过探索、研究、学习相关地区临终关怀服务的成功经验来有效发展本土临终关怀服务。本研究采用定量与定性相结合的混合研究方法,主要通过文献研究、比较分析了解国内外各地临终关怀服务的发展现状及成功经验,通过政策分析掌握深圳市居家养老及老龄服务等相关政策,通过问卷调查、访谈及实地调查来了解深圳市的临终关怀服务现状及存在的问题。经研究发现,深圳临终关怀服务存在诸如政府不重视、缺乏政策支持、本土化临终关怀服务模式缺失、临终关怀机构运转资金匮乏、服务人员专业素质低下、社会资源欠缺整合等问题,为有效应对上述问题,笔者有针对性地提出探索建立长期医疗保险制度、建立社区——家庭照护的临终关怀形式,运用社会工作手法——个案管理来统筹服务等相关建议,以此来推进深圳市临终关怀服务在理论和实践层面的发展。
[Abstract]:China's austere aging population has attracted national attention, with government departments frequently adopting policies to cope with the growing care needs of the elderly and changing the disease spectrum. The changes in family structure and the enhancement of human subjective consciousness have also led experts from all walks of life to explore ways to deal with the problem. The successful practical experience in the relevant regions at home and abroad has shown that, As a comprehensive care means to meet the end-stage care needs, improve the quality of life, and assist the family members through the depression period, hospice care can effectively deal with the above problems. It should be widely used and popularized. According to research, the existing hospice care services in Shenzhen cannot meet the care needs of the terminally ill, although they have not yet entered the stage of population aging, but with the spread of chronic diseases such as cancer, With the increase of 421 families and the increase in the number of elderly people moving away, the demand for hospice care will become greater and greater. It is urgent for aspiring people to explore and study. In order to develop the local hospice service effectively by learning the successful experience of the hospice service in the relevant area, this study adopts a mixed method of quantitative and qualitative research, mainly through the literature study. To compare and understand the current situation and successful experiences of hospice care services at home and abroad, to master the related policies such as home pension and aging services in Shenzhen through policy analysis, and to investigate the related policies through questionnaires. Interviews and field investigations were conducted to understand the current situation and problems of hospice care services in Shenzhen. It was found that there are such problems as government neglect, lack of policy support, and lack of local hospice care service mode in Shenzhen. The running funds of hospice care institutions are short of funds, the professional quality of service personnel is low, the social resources are not integrated and so on. In order to effectively deal with the above problems, the author puts forward to explore the establishment of long-term medical insurance system. In order to promote the development of hospice care in Shenzhen City, we should establish the form of hospice care for community and family care, and use social workmanship-case management to coordinate the service and other related suggestions in order to promote the development of hospice care in Shenzhen.
【学位授予单位】：深圳大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：D669.6

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