叙事遗嘱在老年生命末期患者中的伦理学思辨

[中图分类号]R-052 [文献标志码]A [文章编号]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

老龄化社会的到来、医学的进步和发展及高质量照护服务需求的呼唤致使越来越多的老年生命末期患者面临生命抉择的困境。（剩余10245字）