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DB43/T—2023 287543 湖南省地方标准 ICS 1.020 CCS C 011 发 布 湖南省市场监督管理局2023-1 2发布-20 2024-03实施-2 0安宁疗护舒适照护基本规范 Basic specification of comfort nursing in palliative care DB43/T 2875—2023 I 目 次 前言 ································ ································ ································ ························ Ⅲ 1 范围 ································ ································ ································ ····················· 1 2 规范性引用文件 ································ ································ ································ ······ 1 3 术语和定义 ································ ································ ································ ············ 1 4 总体原则与要求 ································ ································ ································ ······ 2 5 服务内容 ································ ································ ································ ··············· 2 6 服务评价与改进 ································ ································ ································ ······ 5 附录A(资料性) 简明疼痛评估量表( BPI) ································ ································ ··· 6 附录B(资料性) 成人疼痛行为评估量表 ································ ································ ······· 8 附录C(资料性) WHO恶心、呕吐分级标准 ································ ································ ····· 9 附录D(资料性) 终末期患者常见恶心和呕吐的原因 ································ ······················ 10 附录E(资料性) Borg呼吸困难量表 ································ ································ ·········· 11 附录F(资料性) 匹兹堡睡眠质量量表 ································ ································ ········ 12 附录G(资料性) 心理评估表 ································ ································ ···················· 14 附录H(资料性) 广泛性焦虑自评量表( GAD-7)································ ··························· 16 附录I(资料性) 健康状况问卷 -9(PHQ-9) ································ ································ · 17 附录J(资料性) 社会支持评定量表( SSRS) ································ ······························· 18 参考文献 ································ ································ ································ ·················· 20 DB43/T 2875—2023 II

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