{"id":4752,"date":"2017-04-24T00:00:00","date_gmt":"2017-04-23T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=9d96438a8feb06d25d434db3b931b486"},"modified":"2018-08-21T12:36:54","modified_gmt":"2018-08-21T04:36:54","slug":"%e5%a4%a7%e9%86%ab%e7%b2%be%e8%aa%a0%ef%bc%9a%e8%87%a8%e7%b5%82%e9%97%9c%e6%87%b7%e8%ad%b7%e7%90%86-%e5%ae%88%e8%ad%b7%e7%94%9f%e5%91%bd%e5%b0%8a%e5%9a%b4","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e5%a4%a7%e9%86%ab%e7%b2%be%e8%aa%a0%ef%bc%9a%e8%87%a8%e7%b5%82%e9%97%9c%e6%87%b7%e8%ad%b7%e7%90%86-%e5%ae%88%e8%ad%b7%e7%94%9f%e5%91%bd%e5%b0%8a%e5%9a%b4\/","title":{"rendered":"\u5927\u91ab\u7cbe\u8aa0\uff1a\u81e8\u7d42\u95dc\u61f7\u8b77\u7406 \u5b88\u8b77\u751f\u547d\u5c0a\u56b4"},"content":{"rendered":"

\u3010\u660e\u5831\u5c08\u8a0a\u3011\u751f\u8001\u75c5\u6b7b\u662f\u4eba\u751f\u7684\u5fc5\u7d93\u904e\u7a0b\uff0c\u7531\u65bc\u8840\u8089\u4e4b\u8ec0\u5148\u5929\u7684\u5c40\u9650\uff0c\u751f\u5b58\u3001\u75be\u75c5\u548c\u8870\u8001\u5982\u5f71\u96a8\u5f62\uff0c\u4f34\u96a8\u7d42\u751f\uff0c\u6240\u6709\u4eba\u90fd\u53d7\u5230\u9019\u4e00\u898f\u5f8b\u7684\u9650\u5236\u3002\u91ab\u751f\u7684\u5929\u8077\u662f\u6551\u50b7\u6276\u5371\uff0c\u5354\u52a9\u75c5\u4eba\u8207\u75c5\u9b54\u640f\u9b25\uff0c\u4f46\u5c31\u7b97\u91ab\u8853\u518d\u9ad8\u660e\uff0c\u9762\u5c0d\u6b7b\u4ea1\u7684\u5927\u9650\uff0c\u4e5f\u7e3d\u8981\u5fc3\u61f7\u8b19\u5351\u3002\u7121\u8ad6\u91ab\u7642\u79d1\u6280\u591a\u9ebc\u5148\u9032\uff0c\u90fd\u5fc5\u9808\u627f\u8a8d\u79d1\u5b78\u7684\u5c40\u9650\u3002\u6700\u5f8c\u5230\u4e86\u56de\u9b42\u4e4f\u8853\u7684\u6642\u5019\uff0c\u6211\u5011\u53c8\u61c9\u8a72\u600e\u9ebc\u505a\uff1f<\/p>\n

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2016\u5e74\u5c01\u8056\u7684\u5fb7\u862d\u4fee\u5973\uff08Saint Teresa of Calcutta\uff0c\u5716\uff09\u65bc1950\u5e74\u5275\u7acb\u4ec1\u611b\u50b3\u6559\u6703\uff08Missionaries of Charity\uff09\uff0c\u6b64\u5f8c\u5728\u5168\u7403\u591a\u500b\u8ca7\u56f0\u5730\u5340\uff0c\u70ba\u6700\u53d7\u793e\u6703\u5ffd\u7565\u7684\u908a\u7de3\u65cf\u7fa4\u63d0\u4f9b\u91ab\u8b77\u670d\u52d9\u3002\u5979\u5011\u670d\u4f8d\u7684\u5c0d\u8c61\u5927\u591a\u8eab\u8655\u7f3a\u4e4f\u91ab\u7642\u5efa\u8a2d\u7684\u843d\u5f8c\u5730\u5340\uff0c\u5373\u4f7f\u7576\u5730\u8001\u767e\u59d3\u4e5f\u7121\u6cd5\u7372\u5f97\u9069\u5207\u7684\u6cbb\u7642\uff0c\u66f4\u4f55\u51b5\u611b\u6ecb\u75c5\u3001\u75f2\u760b\u75c5\u60a3\u8005\u548c\u5148\u5929\u6b98\u969c\u7684\u5b30\u5b69\u7b49\u88ab\u793e\u6703\u907a\u5fd8\u7684\u4eba\uff1f\u7576\u73fe\u5be6\u74b0\u5883\u4ee4\u75c5\u60a3\u548c\u7167\u9867\u8005\u611f\u5230\u7121\u52a9\u548c\u7d55\u671b\u7684\u6642\u5019\uff0c\u5f80\u5f80\u662f\u5fb7\u862d\u4fee\u5973\u548c\u5979\u7684\u50b3\u6559\u58eb\u70ba\u60a3\u8005\u7684\u4e0d\u5e78\u4eba\u751f\u63d0\u4f9b\u4e86\u64ab\u6170\uff0c\u71c3\u9ede\u4e86\u5e0c\u671b\u3002<\/p>\n

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\u6700\u5f8c\u95dc\u982d\u7121\u6050\u61fc\u907a\u61be<\/p>\n

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\/\/www.afterroberto.com\/wp-content\/uploads\/2017\/07\/23075676_l.jpg;<\/inline><\/p>\n","protected":false},"excerpt":{"rendered":"

【明報專訊】生老病死是人生的必經過程，由於血肉之軀先天的局限，生存、疾病和衰老如影隨形，伴隨終生，所有人都受到這一規律的限制。醫生的天職是救傷扶危，協助病人與病魔搏鬥，但就算醫術再高明，面對死亡的大限，也總要心懷謙卑。無論醫療科技多麼先進，都必須承認科學的局限。最後到了回魂乏術的時候，我們又應該怎麼做？<\/p>\n

兩修女畢生助貧病人士<\/p>\n

兩位先後獲頒港大名譽博士的天主教修女以她們畢生言傳身教，道出醫護同工濟世之心。<\/p>\n

2016年封聖的德蘭修女（Saint Teresa of Calcutta，圖）於1950年創立仁愛傳教會（Missionaries of Charity），此後在全球多個貧困地區，為最受社會忽略的邊緣族群提供醫護服務。她們服侍的對象大多身處缺乏醫療建設的落後地區，即使當地老百姓也無法獲得適切的治療，更何况愛滋病、痲瘋病患者和先天殘障的嬰孩等被社會遺忘的人？當現實環境令病患和照顧者感到無助和絕望的時候，往往是德蘭修女和她的傳教士為患者的不幸人生提供了撫慰，燃點了希望。<\/p>\n

香港也有一位曾為治療肺癆病人奉獻終生的亞規納斯修女（Sister Mary Aquinas）。她的醫術或許稱不上神乎其技，也並無驚天動地的科研創舉，但第二次世界大戰後肺結核病肆虐香港之際，她致力照顧肺癆病人，以當時的社會條件而言，減輕病人的痛楚，可說是功德無量，並不遜於治療本身。她的一顆真摯誠懇的心，值得多少大教授、專家為之鞠躬致敬。<\/p>\n

最後關頭無恐懼遺憾<\/p>\n

近年醫學界與社會大眾均開始關注臨終關懷護理（end-of-life care），考慮的是如何令病患在彌留的歲月裏，盡量減輕痛苦，守護生命的尊嚴。譬如患者可選擇接受臨終護理的所在——無論醫院、療養院還是家中，由主診醫生全面統籌及協調，醫護人員、社工、治療師等專業人員提供家訪服務，病患的親友也可全程參與其中。古人曾慨嘆「死生亦大矣」，面臨死亡，不只是病患，他們的至親都需要足夠的心理準備及支援。<\/p>\n

今天香港正面臨人口老年化，臨終關懷護理的服務，必將成為社會需求不可逆轉的趨勢。每當從新聞得知那些受貧病煎熬、相依為命的長者最終自行了斷生命，最是令人心酸。每天在公營醫院內，目睹不少末期病人仍然繼續無奈接受深切治療或危急搶救服務，情况都未如理想，也總是黯然神傷。目前全港善終服務極為匱乏，從整體醫療資源分配所得也絕對不足。這是一個最低調、缺乏光環的領域，金錢回報亦不豐厚，因此願意投身其中的人寥寥可數，在未來的醫改計劃裏，我們是否應該重新考慮臨終關懷護理服務的重要性？<\/p>\n

無論有沒有宗教信仰，人生在世只是暫時的客途，除了畢生追求健康幸福，最終都要坦然面對整個過程的終結。醫療除了為人帶來健康，也要從終極的角度思考生命，「藥王」孫思邈曾經撰文《大醫精誠》點出﹕醫者務必「誓願普救含靈之苦」，包括在最後關頭助人安然渡過，既無恐懼，也無遺憾。<\/p>\n

文﹕梁卓偉（香港大學醫學院院長）、唐明（特約作者）<\/p>\n

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