推動腦血管意外之緩和照護

Promoting Palliative Care for Cerebrolvascular Accident

過去醫療專業人員對於腦血管意外病人的照護多數著重在復健及營養給予等，卻較少涉及此類病人於長期照護過程中緩和照護的運用。在長期照護中，為提昇腦血管意外病人及家屬的生活品質，了解病人之生理、心理、社會及靈性的需求，加上運用溝通的技巧及對於病人臨終決策之倫理議題思考，將是提昇緩和照護服務於臨床推動重視的議題。本文探討腦血管意外病人對於緩和照護的需求，進而喚起大眾對緩和照護運用於腦血管意外病人的重要。另外，為達到高品質的照護，醫療人員應有緩和照護的概念及策略，期盼藉由繼續教育達成醫療人員的充能，使緩和照護更加落實於腦血管意外病人之臨床照護當中。

While caring for patients with cerebrovascular accident, health professionals focused on rehabilitation, nutrition and so on, but rarely denoted themselves to palliative care in the process of long-term care. In order to improve the quality of life of patients with cerebrovascular accident and their families, understanding patients' needs in physical, psychological, social and spiritual aspects, using communication skills and thinking about ethical issues of decision-making for dying patients will be important in promoting palliative care service in clinical practice. This article aims to describe the palliative care needs of patients with cerebrovascular accident, in order to arouse public concern about the importance of palliative care for patients with cerebrovascular accident. In addition, health professionals should understand concepts and strategies of palliative care in order to achieve high quality of palliative care. By empowering the health professionals through continuing education, we hope to implement palliative care in clinical care of patients with cerebrovascular accident.