一个癌症晚期患者，往往会使其整个家庭心痛受累。由于无法手术、治疗手段局限等原因，在医疗资源相对紧缺情况下，患者客观上存在住院难现象；家人照料多力不从心，且缺少镇痛等有效手段。

A terminal cancer patients,Tend to make the whole family heartache.Due to surgery/Limitations of treatment means,Under the medical resources relative shortage,Patients hospitalized difficult phenomenon objectively;Family care more,And the lack of effective means such as analgesia.

　　如今，在老年人口占户籍总人口约25%的特大型城市上海，通过不断探索，已经实现了每个区县至少有1个舒缓疗护病区，专门收治癌症晚期患者。近日，记者走进了这些特殊的病区。

now,In the elderly population census register population of about 25% of the extra large city of Shanghai,Through continuous exploration,Has achieved each county has at least one soothing care ward,Specially treated patients with terminal cancer.In recent days,Reporter walked into the special ward.

　　生死两“安”，呵护生命余晖 Both life and death"Ann",Care for life light

　　“妈妈已经住进来一个多星期了，现在她没有那么大的痛苦了，精神也好了很多，连饭量也增加了。”在徐汇区华泾镇社区卫生服务中心住院部一楼的舒缓疗护病区，记者见到了肺癌晚期并全身转移的袁龙建，她的独子李禹水告诉记者，“看着她能够吃点喝点，我们做子女的心里也好受了很多。”

"Mom has lived for more than a week,She doesn't have so big pain now,Spirit a lot,Even the appetite has increased."Community health service center in xuhui district hua of in-patient department on the first floor of the soothing care ward,Reporters saw the Yuan Long built and systemic metastasis of lung cancer,Her only son Li Yu water told reporters,"Looking at her to eat something to drink,We do children or suffer a lot in my heart."

　　李禹水是个年轻白领，牵挂母亲和工作的他身心俱疲，“之前大医院已经没法给妈妈提供积极治疗了，住在急诊间条件也不好，现在这里医生、护士都经过专门培训，服务也很周到，一天的护理费只有40元，且90%可以医保报销。希望政府推出更多临终关怀服务，像我们这样痛苦的癌症晚期患者和家属还有很多很多。”

Li Yu water is a young white-collar workers,Caring mother and work he was exhausted,"Before the large hospitals have already can't give my mother to provide active treatment,Between living in emergency conditions is not good,Now the doctor here/Nurses are specially trained,Service is also very thoughtful,One day a nurse only 40 yuan,And 90% can be reimbursement.Wants the government to introduce more hospice care,As painful as we still have many, many cancer patients and their families."

　　护士徐欢欢介绍说，医护人员每天早晨和晚上都要给癌症晚期患者做护理，提供基本镇痛、止吐等医疗服务；有时还要和病人聊聊天，哪怕他们中的很多人不能说话了只能眨眨眼；还要指导家属如何照顾癌症晚期病人等，“这里所有的病人身上都清清爽爽没有褥疮”。

The nurse Xu Huanhuan said,Medical staff every morning and evening to make care for terminal cancer patients,Provide basic analgesia/Anti-nausea and other medical services;Sometimes to talk with the patient,Even if many of them cannot speak only with a wink;To guide the family members how to take care of terminal cancer patients such as,"All of the patients here are relaxed no bedsore".

　　记者走进病区，第一感觉就是安静、温馨，医护人员的动作、言语轻柔，病人盖着小碎花被子，房间内有千纸鹤等装饰。病区内有专门的淋浴房和特制床，能够在尽量减少移动的情况下给即将离去的患者洗上人生最后一个澡。

Reporter walked into the ward,The first feeling is quiet/sweet,Medical personnel actions/Gentle words,Patients with small broken flower bed,The rooms have thousand cranes and other decorations.Ward has special shower room and specially designed bed,Can in under the condition of minimizing moving to departures of patients life finally a bath.

　　回应呼吁，制度设计惠及百姓 Respond to calls for,System designed to benefit the people

　　调查显示，上海近年来每年肿瘤患者死亡约3.6万人，70%的癌症晚期患者需要居家静养，给予止痛、心理安抚等舒缓疗护及临终关怀。

According to the survey,Shanghai cancer patients die each year about 36000 people in recent years,70% of terminal cancer patients need to rest at home,Give the pain/Psychological soothe and relieve care and hospice care.

　　2012年2月，上海一位市民在网络上致信上海市委主要领导，反映其患晚期癌症的父亲住院困难。此事迅即得到上海市委市政府主要领导的高度重视和积极回应，并表示“特别要在癌症晚期病人的关怀上，争取在制度上有所前进”。2012年上海市两会政府工作报告中特别提出要“开展社区临终关怀”。

In February, 2012,,A Shanghai citizen sent a letter to Shanghai municipal committee of the main leadership on the Internet,Reflect its difficult with late-stage cancer's father was in the hospital.This matter promptly get Shanghai main leaders of the municipal party committee attaches great importance to and actively respond,And said"In particular, in care of terminal cancer patients,For on the system forward".In 2012 Shanghai CPPCC special offered to the government work report"To carry out community end-of-life care".

　　上海将推进临终关怀工作纳入2012年政府实事工程，明确提出，全市17个区县都要设立舒缓疗护病区，专门收治癌症晚期患者。经努力，全市17个区县在18家社区卫生服务中心设立了舒缓疗护病区，项目总投入2437.86万元，设立床位226张，已收治患者377人。

Shanghai will promote hospice work into the practical engineering in 2012,Clearly put forward,The city's 17 districts and counties is to set up a soothing care ward,Specially treated patients with terminal cancer.By the effort,17 counties in the city community health service center in 18 set up soothing care ward,Project total investment of 24.3786 million yuan,Set up the 226 beds,Has treated 377 patients.

　　此外，试点机构还开展居家舒缓疗护服务115人，门诊服务946人。经调查统计，病人满意度99.39%，家属满意度98.9%，社区居民临终关怀知晓度达到82.95%。

In addition,Pilot institutions run also relieve that occupy the home care services of 115 people,Outpatient service 946 people.After investigation and statistics,Patient satisfaction was 99.39%,Family satisfaction 98.9%,Community hospice care know degrees up to 82.95%.

　　最后一程，让更多患者走得安然 Finally a ride,Let more patients with enron

　　记者了解到，作为老龄化程度日益加深的城市，上海的癌症晚期患者对舒缓疗护的需求非常迫切和旺盛。“我们将进一步在全市推广临终关怀工作，同时规范服务，全面提高临终关怀服务的水平和质量。”上海市卫生局负责人表示。

The reporter understands,Increasing as the aging of city,Shanghai terminal cancer patients to relieve care very urgently and strong demand."We will further promote palliative care in the city,At the same time standardize service,To upgrade the level and quality of hospice care.", head of the Shanghai health bureau said.

　　记者在华泾镇社区卫生服务中心了解到，入住舒缓疗护病区的患者首先要经过评估，然后根据病症等状况有选择地进行收治，尽量把机会留给最急切需要的病人。

Journalists of community health service center in China to know,Check in soothing care ward patients must first after the evaluation,Then treated selectively according to the disease status,As far as possible the opportunity is left to the most urgent need of the patient.

　　“我们的工作也需要家属的理解和社会的支持，例如，不进行不必要的抢救，以免加剧病人痛苦。”病区护士长告诉记者，“很多前一天还和我们有说有笑的患者过了一晚就走了，我们付出越多，病人走的时候我们就越难受。”

"Our work also need understanding and social support families,Such as the,Without unnecessary emergency treatment,So as not to aggravate the patient pain."A head nurse ward told reporters,"Many patients day talking and laughing with us for a night and went away,The more we pay,The patient walk more when we are ill."

　　记者了解到，2013年1月10日，上海专门为100多位开展临终关怀的医护人员进行心理辅导，帮助他们调适心态更好地开展工作。

The reporter understands,On January 10, 2013,Shanghai for more than 100 of hospice nurses for counseling,Help them to adjust state of mind to work better.

　　目前，18家正在试点的社区卫生服务中心加大了培训教育力度，以进一步扩大舒缓疗护服务的队伍并提高专业水平；有关部门也正在研究将服务项目经论证后纳入医保范围，并广泛发动志愿者和社工加入团队，使这项“温暖工程”有更多制度保障。(记者 仇逸 袁洁）

At present,18 pilot community health service center is strengthen the training education,To further expand the soothing care service team and improve their professional level;Relevant departments are studying also services after argument should be brought into the scope of health care,And widely launched a volunteer and social workers to join the team,To make this"Warm engineering"Have more institutional guarantee.(The reporter QiuYi Yuan Jie)