CAJ | 학술논문

目的：回顾居家临终关怀的服务实践，初步探索居家临终关怀服务的意义。方法：临终关怀患者36例进行3个月的居家临终关怀干预，采用临终关怀问卷分别调查干预前后患者及其家属87人对死亡的认识和对临终关怀服务的知晓度。结果：与干预前相比，经过3个月的临终关怀，患者及其家属对死亡的恐惧害怕降低（65.52%比27.78%， P<0.01）,对死亡的接受增加（18.39%比51.85%，P<0.01），对死亡拒绝回避的变化不显著（16.09%比20.37%， P>0.05）。患者及家属对临终关怀服务的知晓度较高，为（7.47±2.11）分。结论：社区卫生服务中心采取团队服务模式，实施入户居家临终关怀，可作为机构临终关怀供不应求的补充。
목적：회고거가림종관부적복무실천，초보탐색거가림종관부복무적의의。방법：림종관부환자36례진행3개월적거가림종관부간예，채용림종관부문권분별조사간예전후환자급기가속87인대사망적인식화대림종관부복무적지효도。결과：여간예전상비，경과3개월적림종관부，환자급기가속대사망적공구해파강저（65.52%비27.78%， P<0.01）,대사망적접수증가（18.39%비51.85%，P<0.01），대사망거절회피적변화불현저（16.09%비20.37%， P>0.05）。환자급가속대림종관부복무적지효도교고，위（7.47±2.11）분。결론：사구위생복무중심채취단대복무모식，실시입호거가림종관부，가작위궤구림종관부공불응구적보충。
Objective:To preliminarily explore the service practice of the hospice care at home and its signiifcance. Methods:Thirty-six patients were provided with three months of the hospice care at home. The awarenesses of death and degree of the hospice care for the patients and their family members were investigated with a questionnaire of the hospice care respectively before and after intervention. Results:After three months of the hospice care service, the fear of death of the patients and their family members reduced (65.52% vs 27.78% P<0.01) compared with before intervention. The acceptance of death increased (18.39%vs 51.85%, P<0.01). Refusal avoidance of death did not change signiifcantly (16.09%vs 20.37%, P>0.05). The awareness of the terminal hospice care was high (7.47 ± 2.11). Conclusion:The community health service center adopts the team service mode to provide the hospice care at home which can make up a supplement that the institutions are in short supply of the hospice care.