苗海军　朱梅生　周晓辉

【摘 要】目前，全球人口老龄化速度加快，我国作为人口大国，面临老龄化带来的各种挑战。其中，老年人医疗卫生问题是其关注重点之一。老年医学关注老年人卫生健康，主要解决老年人，尤其是高龄老人的疾病预防和综合诊治。我国老年医学教学起步较西方国家晚，与西方现代老年医学教育理念未完全同步。尤其涉及处理高龄衰弱和终末期患者的医疗问题，国内基本处于空白。为了更好地服务于老年患者，减轻老年患者家庭和社会的负担，有必要积极推动老年医学教学过程中讲授缓和医疗相关知识，以应对老龄化社会的现实需求。

【关键词】老龄化;老年医学;缓和医疗;教学

中图分类号： R197.1文献标识码： A文章编号： 2095-2457（2019）30-0207-003

DOI：10.19694/j.cnki.issn2095-2457.2019.30.106

The Necessity of Palliative Care in Geriatrics Curriculum

MIAO Hai-jun ZHU Mei-sheng ZHOU Xiao-hui

（The first affiliated hospital of Xinjiang medical university， Urumqi Xinjiang 830054， China）

【Abstract】Nowadays， the aging speed of the global population is accelerating， China， as a country with a large population， is facing various challenges by aging. Among them， the medical problems of the elderly is one of the key points. Geriatrics pays attention to the health of the elderly， mainly solves the prevention and comprehensive treatment among the elderly diseases， especially the advanced elderly. The teaching of geriatrics in China started later than that in western countries and was not completely synchronized with the concept of modern gerontology in the west. In particular， it involves dealing with the medical problems of elderly patients with weakness and end-stage patients， which is basically blank in China at present. In order to better serve the elderly patients and lighten the burden of the family and society， it is necessary to actively promote the teaching of palliative care in the process of geriatrics teaching in order to meet the needs of the aging society.

【Key words】Aging; Geriatrics; Palliative care; Teaching

隨着全球人口老龄化进程的加速，一系列医疗健康问题也随之涌现。老年人医疗卫生服务与社会经济发展关系密切[1]，近年老年医学逐渐受到关注。国内大多数医学院校已开展老年医学课程，主要讲解人口老龄化现状、衰老机制及老年专科疾病。伴随老龄化加速、医疗模式转变以及人文、经济的发展，老年医学教学需要加快脚步，以适应人口老龄化的发展。因此，老年医学课程需要进行相应内容的调整以适应现代老年医学的发展理念。

老年人是一个特殊的群体，其卫生健康服务是一个长期、持续的过程。老年人全身器官功能减退，多种疾病共同影响，最终导致老年人各系统器官功能衰竭，面对死亡。……