以促进学生自我生命关怀为核心的护理专业生死教育概念框架构建研究

doi:10.3761/j.issn.1672-9234.2026.06.002

摘要/Abstract

摘要：

在医疗技术快速发展的当下，因多数强调生命救治，而忽略个体成长过程中的生命关怀，导致技术发展与生命关怀失衡。护理专业学生既是大学生也是未来医疗服务的“生力军”，可能会频繁面对生离死别、临终关怀等情境，因而更需要建立自我生命关怀，而生命关怀的核心要素，即有尊严地生活，也是影响个体生命质量的重要因素。该文针对爱与自我生命关怀的概念及核心要素、生死教育与自我生命关怀的内在联系进行相关文献梳理，对Kolb经验学习理论进行概念提取，并将理论结构化地呈现在框架图中，有效地指导理论由抽象转至具象，进一步形成符合中国社会文化背景的基于经验学习理论的生死教育概念框架，为后续深入开展高校生死教育干预提供理论依据。

关键词: 自我生命关怀, 生死教育, 爱, 尊严, 生命质量

Abstract:

In the current era of rapid development in medical technology，the emphasis on life-saving measures often overshadows the importance of individualized life care during the growth process，leading to an imbalance between technological advancement and life care. Nursing students，who are both college students and the future backbone of healthcare services，frequently encounter situations involving death，dying and end-of-life care. Therefore，they need to establish self-life care. The core element of life care namely living with dignity is also a crucial factor influencing the quality of individual life. This article reviews relevant literature on the concepts and core elements of love and self-life care，as well as the intrinsic connection between death and life education and self-life care. Key concepts were extracted from Kolb’s experiential learning theory and presented the theoretical structure in a framework diagram，effectively guiding the transformation of theory from the abstract to the concrete. Based on this，a conceptual framework for death and life education grounded in experiential learning theory that aligns with China’s sociocultural context is developed，providing a theoretical basis for the subsequent in-depth implementation of death and life education intervention in colleges and universities.

Key words: Self-life Care, Death Life Education, Love and Care, Dignity, Life Quality

陈之冰, 郭奕嫱, 朱明霞. 以促进学生自我生命关怀为核心的护理专业生死教育概念框架构建研究[J]. 中华护理教育, 2026, 23(6): 650-655.

CHEN Zhibing, GUO Yiqiang, ZHU Mingxia. Development of a conceptual framework for nursing life-and-death education centered on enhancing students’ self-life care[J]. Chinese Journal of Nursing Education, 2026, 23(6): 650-655.

图/表 3

参考文献 34

[1]	Sallnow L, Smith R, Ahmedzai SH, et al. Report of the Lancet Commission on the value of death:bringing death back into life[J]. Lancet, 2022, 399(10327):837-884. doi: 10.1016/S0140-6736(21)02314-X pmid: 35114146
[2]	刘春玲, 章雪玲. 思政教育融入临床护理实践教学全过程的实践研究[J]. 全科护理, 2022, 20(18):2586-2588.
	Liu CL, Zhang XL. Practical study on the integration of ideological and political education into the whole process of clinical nursing practice teaching[J]. Chin Gen Pract Nurs, 2022, 20(18):2586-2588.
[3]	贾英岚, 贾亚南, 张君瑞, 等. 护生实习前死亡态度的现状及影响因素[J]. 河南医学研究, 2024, 33(14):2600-2603.
	Jia YL, Jia YN, Zhang JR, et al. Status quo and influence factors of death attitude in the nursing students[J]. Henan Med Res, 2024, 33(14):2600-2603.
[4]	陈秀珍, 贾珍荣, 杨晓娟. 生活事件、自尊和抑郁对大学生自杀意念的影响[J]. 中国健康心理学杂志, 2020, 28(10):1557-1561.
	Chen XZ, Jia ZR, Yang XJ. Effects of life events,self-esteem and depression on suicidal ideation of college students[J]. China J Health Psychol, 2020, 28(10):1557-1561.
[5]	澳门特别行政区政府保安司司长办公室. 统计数据最新罪案数字[EB/OL].(2025-03). https://www.gss.gov.mo/cht/statistic.aspx.
	Office of the Secretary for Security of the Macao Special Administrative Region Government. Latest crime statistics[EB/OL].(2025-03). https://www.gss.gov.mo/cht/statistic.aspx.
[6]	岳鹏, 许丽杰, 高丽, 等. 医学生“生命关怀与死亡教育”课程的设计与实施[J]. 中国护理管理, 2024, 24(2):161-164.
	Yue P, Xu LJ, Gao L, et al. Design and implementation of the “Life Care and Death Education” course for medical students[J]. Chin Nurs Manag, 2024, 24(2):161-164.
[7]	安玉泽, 王晶晶, 付静茹, 等. 国内外医学生生死教育研究热点及可视化分析[J]. 医学与哲学, 2024, 45(22):57-62.
	An YZ, Wang JJ, Fu JR, et al. Research hotspots and visual analysis of life and death education for medical students at home and abroad[J]. Med Philos, 2024, 45(22):57-62.
[8]	Zhang XL, Xie XF, Xiao HM. Effects of death education interventions on cancer patients in palliative care:a systematic review and meta-analysis[J]. Death Stud, 2024, 48(5):427-441. doi: 10.1080/07481187.2023.2233450
[9]	Phan HP, Chen SC, Ngu BH, et al. Advancing the study of life and death education:theoretical framework and research inquiries for further development[J]. Front Psychol, 2023, 14:1212223. doi: 10.3389/fpsyg.2023.1212223
[10]	黄欣玥, 朱英杰. 我们需要补齐生死教育的人生必修课[N]. 人民政协报,2023-11-15(11).
	Huang XY, Zhu YJ. We Need to complete the essential life course of education on life and death[N]. Chin Peopl Polit Consult Conf Daily,2023-11-15(11).
[11]	Corr CA, Nabe CM, et al. Death and dying,life and living[M]. Pacific Grove,Calif.: Brooks/Cole, 1994.
[12]	施永兴. 临终关怀学概论[M]. 上海: 复旦大学出版社, 2015:585-592.
	Shi YX. An introduction to hospice care[M]. Shanghai: Fudan Press, 2015:585-592.
[13]	Ferrari L, Sgaramella TM, Testoni I. Death education and educators:the role of attitudes,anxiety,and future time perspective[J]. Death Stud, 2025:1-8.
[14]	朱明霞, 张新庆. “第三种爱”浅析[J]. 护士进修杂志, 2019, 34(14):1298-1301.
	Zhu MX, Zhang XQ. Analysis of “the third kind of love”[J]. J Nurses Train, 2019, 34(14):1298-1301.
[15]	张惠娟. 生死教育的真谛,是爱的教育[N]. 人民政协报,2022-03-30(11).
	Zhang HJ. The true essence of life-and-death education is education of love[N]. Chin Peopl Polit Consult Conf Daily,2022-03-30(11).
[16]	朱明霞. 创新与传承:大学生生命教育课程规划与教学实务[M]. 新北: 心理出版社股份有限公司, 2021:547-565.
	Zhu MX. Innovation and inheritance:curriculum planning and teaching practice of life education for college students[M]. New Taipei: Psychological Publishing Co.,Ltd., 2021:547-565.
[17]	虞伟. 生命关怀视域下的医生职业精神探析[J]. 中国医疗管理科学, 2025, 15(5):16-20.
	Yu W. A study on medical professionalism in the context of life care[J]. China Med Adm Sci, 2025, 15(5):16-20.
[18]	赵宇飞, 安立鹏, 李昱潼, 等. 自我同情:概念、测量与理论[J]. 心理科学, 2025, 48(3):758-767.
	Zhao YF, An LP, Li YT, et al. Self-compassion:concept,measurement,and theory[J]. J Psychol Sci, 2025, 48(3):758-767.
[19]	马振玲, 苏欣, 李牧尧, 等. 护理本科生外显和内隐死亡态度及其与生命意义感的关系研究[J]. 中华护理教育, 2025, 22(7):822-828.
	Ma ZL, Su X, Li MY, et al. The relationship between explicit and implicit death attitudes of undergraduate nursing students and their sense of life meaning[J]. Chin J Nurs Educ, 2025, 22(7):822-828.
[20]	Pisani AR, Wyman PA, Cero I, et al. Text messaging to extend school-based suicide prevention:pilot randomized controlled trial[J]. JMIR Ment Health, 2024, 11:e56407. doi: 10.2196/56407
[21]	Li JH, Luo C, Liu LL, et al. Depression,anxiety,and insomnia symptoms among Chinese college students:a network analysis across pandemic stages[J]. J Affect Disord, 2024, 356:54-63. doi: 10.1016/j.jad.2024.04.023
[22]	吴利平, 陈利平, 徐晔. 医学生死亡焦虑及生命意义感问题调研及对策研究[J]. 中国卫生事业管理, 2022, 39(6):467-470.
	Wu LP, Chen LP, Xu Y. Investigation on the issues and countermeasures of death anxiety and sense of life meaning of medical college students[J]. Chin Health Serv Manag, 2022, 39(6):467-470.
[23]	张荣伟, 连榕, 李丹, 等. 意义疗法的理论、方法与技术:基于存在积极心理学的视角[J]. 心理学探新, 2020, 40(3):195-202.
	Zhang RW, Lian R, Li D, et al. Theoretical perspectives,methods and strategies of meaning therapy:based on the perspectives of existential positive psychology[J]. Psychol Explor, 2020, 40(3):195-202.
[24]	李艳萍, 韩灿灿, 张爱萍, 等. 老年人优逝期望的概念分析[J]. 护理研究, 2025, 39(21):3628-3633.
	Li YP, Han CC, Zhang AP, et al. Conceptual analysis of good death expectations in older adults[J]. Chin Nurs Res, 2025, 39(21):3628-3633.
[25]	Kolb DA. Experiential learning:experience as the source of learning and development[M]. Upper Saddle River,N.J.:FT Press, 1984.
[26]	Xiao YY, Liu XH, Yao Y. Students’ development of AI metacognitive awareness in an EAP course:a qualitative inspection through the Experiential Learning Theory[J]. System, 2025, 133:103790. doi: 10.1016/j.system.2025.103790
[27]	史若锦, 杨坤雨. “以人为本”视角下的临终关怀与艺术治疗融合性研究[J]. 艺术市场, 2022(5):100-102.
	Shi RJ, Yang KY. Research on the integration of hospice care and art therapy from the perspective of “people-oriented”[J]. Art Mark, 2022(5):100-102.
[28]	Staats K, Jeppestøl K, Søvde BE, et al. End-of-life care at home:dignity of family caregivers[J]. Nurs Ethics, 2025, 32(2):385-398. doi: 10.1177/09697330241241773
[29]	黄宇昕, 唐四元, 鄢芳, 等. 体验式生死教育课程对大学生死亡态度的影响[J]. 中华护理教育, 2021, 18(5):420-424.
	Huang YX, Tang SY, Yan F, et al. Evaluation of experiential life and death education course on death attitudes of college students[J]. Chin J Nurs Educ, 2021, 18(5):420-424.
[30]	李凤侠, 刘筝筝, 胡成文, 等. 基于建构主义学习理论的死亡教育对肿瘤科护士死亡应对能力的影响[J]. 护理研究, 2022, 36(11):1990-1995.
	Li FX, Liu ZZ, Hu CW, et al. Influence of death education based on constructivist learning theory on death coping ability of oncology nurses[J]. Chin Nurs Res, 2022, 36(11):1990-1995.
[31]	殷凤芳, 张月丽, 陈瑞, 等. 生命教育在护理本科实习生人文关怀素养培养中的应用[J]. 临床心身疾病杂志, 2025, 31(5):132-136.
	Yin FF, Zhang YL, Chen R, et al. The application of life education in the cultivation of humanistic care literacy of undergraduate nursing interns[J]. J Clin Psychosom Dis, 2025, 31(5):132-136.
[32]	Che SL, Li X, Zhu MX, et al. The Death Literacy Index:translation,cultural adaptation,and validation of the Chinese version[J]. Front Public Health, 2023, 11:1140475. doi: 10.3389/fpubh.2023.1140475
[33]	吴逸怡, 郭玉宇, 陆虹宇, 等. 中华传统生命观之灵性、感性与理性——对当代医学生生命教育的启思[J]. 南京医科大学学报(社会科学版), 2025, 25(4):417-422.
	Wu YY, Guo YY, Lu HY, et al. Spirituality,sensibility,and rationality in traditional Chinese views of life:insights for life education of contemporary medical students[J]. J Nanjing Med Univ(Soc Sci), 2025, 25(4):417-422.
[34]	王朝璐. 超越死亡:论胡塞尔内时间意识理论中的爱之共同体[J]. 理论月刊, 2024(1):153-160.
	Wang ZL. Beyond death:on the community of love in Husserl’s theory of inner time-consciousness[J]. Theory Mon, 2024(1):153-160.