敘事遺囑在老年生命末期患者中的倫理學(xué)思辨

[中圖分類號]R-052 [文獻(xiàn)標(biāo)志碼]A [文章編號]1001-8565（2025）06-0712-06

DOI：10.12026/j.issn.1001-8565.2025.06.05

Ethicalreflectionsonnarrativewillsinelderlyend-of-lifepatients

CHENG Linant，CAI Fuman1，LI Huiling2，CHEN Qian3，ZHANG Fengying3

（1. School ofNursing，Wenzhou Medical University，Wenzhou 3250oo， China; 2. School ofNursing，

Soochow Unirversity，Suzhou 215OO6，China; 3.School ofNursing，West China Hospital ofSichuan University，Chengdu 6400O0，China）

Abstract：Elderly end-of-life patients often experience distress due to being caught in dilemmas of contemplation and decision-making.Narrative wills，grounded in life values and premised on respecting individual wishes and needs，present an individual’sunique life story through narrtive forms，conveying their overall experience，interpretation of meaning，and understanding of life. They are preserved and passed on in a way that meets individual expectations，thereby promoting human exploration，reflection，and growth regarding the meaning of life through interpersonal interactions that transcend space and time.This paper explored the concept of narative wills among elderly end-of-life patients，the ethical value and ethical principles of narrative wills，and the moral and ethical risks.It also provided specific ethical interpretations，asisting in the application and development of narrative wills in elderly end-of-life patients.

Keywords：narrative will； the elderly；end-of-life patient；ethical reflections

老齡化社會的到來、醫(yī)學(xué)的進(jìn)步和發(fā)展及高質(zhì)量照護(hù)服務(wù)需求的呼喚致使越來越多的老年生命末期患者面臨生命抉擇的困境。（剩余10245字）