上海市金山区安宁疗护发展现状分析

王峥; 胡其章; 杨慧峰; 高浩美; 顾红军; 王晓红; 杨凤英; 王芳

doi:10.19428/j.cnki.sjpm.2021.20155

上海市金山区安宁疗护发展现状分析

Status of tranquility nursing in Jinshan District， Shanghai

摘要

摘要:
目的分析城市郊区的安宁疗护服务发展现状以及存在的问题，为安宁疗护政策的制定提供依据。
方法采用横断面研究，于2019年5—8月，对上海市金山区已经开展安宁疗护服务的8家医疗机构及其医务人员和316位社区卫生服务中心就诊患者进行定量与定性调查。
结果全区安宁疗护核定床位80张，但实际开放只有53张，2017年全年收治人数189人。8家机构的安宁疗护服务资源配置和服务开展存在较大差异。各家机构建设初期均获得数量不等的上级财政支持，但机构日常运行无任何财政补助。安宁疗护医务人员中高级职称者仅占5%，继续教育薄弱，未获得岗位培训证书的人员占18%，工作压力较大，且后备人员不足。
结论安宁疗护呈现潜在需要未满足，服务利用不足的矛盾现象；区内安宁疗护发展不平衡，缺乏有效激励机制；安宁疗护医护人员队伍建设有待加强。

Abstract:
ObjectiveTo analyze current situation of hospice care in Jinshan District of Shanghai and provide recommendations for development of hospice care.
MethodsThis cross-sectional study included 8 hospice care institutions， their health staff and 316 patients during May-August， 2019. Results were analyzed by quantitative and qualitative methods.
ResultsThere had 80 approved beds in Jinshan District， but only 53 beds were used for 189 inpatients in 2017. Hospice care institutions received financial supports from district government at the construction stage， but relied on their own for daily operation costs. The motivation of health staff to work in hospice care was not strong. Among the hospice care workers， 18% had no certification for hospice care， and only 5% of them had senior professional titles. Continued education for health workers in hospice care was weak and the workers were under heavy stress.
ConclusionThe potential needs for hospice care were unmet while hospice care was under-utilization in Jinshan District. The development of hospice care was unbalanced， and the health workers lacked motivation. The resources of hospice care need to be strengthened.

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