ICS03.080 CCSA12DB50 重庆市地方标准 DB50/T1785—2025 病房安宁疗护服务规范 2025-03-24发布 2025-06-24实施 重庆市市场监督管理局发布DB50/T1785-2025 I目次 前言···························································································································I 1范围····························································································································1 2规范性引用文件·············································································································1 3术语和定义···················································································································1 4基本要求······················································································································1 5服务对象······················································································································2 6服务内容······················································································································2 7服务流程及要求·············································································································3 8服务评价与改进·············································································································3 附录A（规范性）病房安宁疗护服务流程············································································5 附录B（资料性）姑息功能评估量表··················································································6 附录C（资料性）入院知情同意书·····················································································7 附录D（资料性）疼痛评估量表························································································8 附录E（资料性）营养风险筛查量表··················································································9 附录F（资料性）心理痛苦温度计···················································································10 参考文献···················································································································11DB50/T1785-2025 I前言 本文件按照GB/T1.1—2020《标准化工作导则第1部分：标准化文件的结构和起草规则》的规定 起草。 请注意本文件的某些内容可能涉及专利。本文件的发布机构不承担识别专利的责任。 本文件由重庆医科大学附属第一医院提出。 本文件由重庆市卫生健康委员会归口并组织实施。 本文件起草单位：重庆医科大学附属第一医院、重庆医科大学附属第一医院青杠老年护养中心、重 庆医科大学护理学院、重庆护理职业学院、重庆市医养结合研究会。 本文件主要起草人员：赵庆华、肖明朝、白定群、喻秀丽、杜星瑶、米洁、刘丽萍、唐娇、阴倩羽、 黄欢欢、贾雯碧、陈刚、沈军、谢莉玲、宋晶彦、何海燕、肖峰、陈丽娟、彭颖、蒋思琪、周薇、余馨 雨、王春妮、罗欣。DB50/T1785-2025 1病房安宁疗护服务规范 1范围 本文件规定了病房安宁疗护服务的术语和定义、服务对象、基本要求、服务内容、服务流程及要求、 服务评价与改进等。 本文件适用于重庆市开展安宁疗护服务的各级医疗机构。 2规范性引用文件 下列文件中的内容通过文中的规范性引用而构成本文件必不可少的条款。其中，注日期的引用文件， 仅该日期对应的版本适用于本文件；不注日期的引用文件，其最新版本（包括所有的修改单）适用于本 文件。 GB3096-2008声环境质量标准 GB/T13869用电安全导则 GB/T17242投诉处理指南 GB/T18883室内空气质量标准 GB50034建筑照明设计标准 3术语和定义 下列术语和定义适用于本文件。 3.1 安宁疗护hospicecare 以疾病终末期患者和家属为中心，采用多学科协作模式,为疾病终末期患者控制痛苦和不适症状， 提供身体、心理等方面的照料和人文关怀，提高生命质量，帮助患者舒适、安详、有尊严地离世，以及 减轻家属心理哀伤的一种专业服务。 3.2 疾病终末期患者terminallyillpatients 罹患严重伤病导致器官功能衰竭、病情危重，经现代医学诊断尚无法治愈，预期生存期小于6个月 的患者。 3.3 安宁共照模式hospiceshared-caremodel 在医疗机构设立由安宁疗护团队与原治疗团队组成的安宁共照团队，以会诊的形式共同照护在普通 病房的疾病终末期患者，并提供相关的咨询及照护服务。 4服务对象 处于疾病终末期，有安宁疗护服务需求并自愿接受服务协议的患者，包括入住安宁疗护病房的患者 以及普通病房接受安宁共照服务的患者。DB50/T1785-2025 25基本要求 5.1人员 5.1.1应依据《安宁疗护中心基本标准和管理规范(试行)》（国卫医发〔2017〕7号）的要求配备相关人 员，并按照实际情况组建安宁疗护团队，包括但不限于医师、护士、药剂师、营养师、心理咨询师、康 复治疗师、社会工作者、志愿者。 5.1.2应具备符合所在岗位要求的职业道德和专业技能，具有合法的从业资格及相应的资格证书。 5.1.3应参加安宁疗护相关专业知识和技能的更新培训并考核达标。 5.2环境及设施设备 5.2.1病房采光和照明应参照GB50034设计。 5.2.2病房内空气应符合GB/T18883的规定。 5.2.3病房内噪音应符合GB3096-2008中0类的要求。 5.2.4病房内用电安全应符合GB/T13869的原则。 5.2.5病房色彩宜选宁静、柔和、包容的基调，宜为淡粉色、米黄色、浅绿色、乳白色等；家具颜色应 与病房色彩相匹配，宜配置图画、绿植等。 5.2.6参照《安宁疗护中心基本标准和管理规范(试行)》（国卫医发〔2017〕7号）中第四条建筑及第五 条设备的要求设置。 6服务内容 6.1症状控制 6.1.1患者的常见症状包括但不限于疼痛、呼吸困难、咳嗽、咳痰、咯血、恶心、呕吐、呕血、便血、 腹胀、水肿、发热。 6.1.2应对患者常见症状进行评估、识别、诊断和干预，制定控制症状的措施，并根据病情变化动态调 整治疗方案，做好生命体征和病情的实时监测与记录 6.2舒适护理 6.2.1采用相应的评估工具了解患者需求，评估内容包括但不限于患者的舒适状况、自理能力、认知情 况、皮肤情况。 6.2.2开展包括但不限于床单位整理、排泄护理、口腔护理、皮肤护理、体位护理、睡眠护理、营养支 持的照护措施。 6.3营养支持 应根据患者营养风险筛查、吞咽功能以及胃肠功能等评定结果，制定个体化的营养管理方案并予以 实施。 6.4精神及心理支持 6.4.1应尊重患者及家属的信仰、文化习俗。 6.4.2应开展患者的心理评估，评估内容包括但不限于患者的一般资料、意识情况、理解能力和表达能 力，以及家属对疾病的认知、预期和生死观，并根据评估结果和需求制定相应的心理支持方案。