关键词: 儿科预立医疗照护计划；以家庭为中心；终末期；儿童安宁疗护；临终关怀

Abstract: Pediatric Advance Care Planning is an important part of palliative care for children. Due to the lack of decision-making ability, complex social situation, and common family participation in decision-making in terminally period children, there is a strong demand for developing pediatric Advance Care Planning suitable for Chinese cultural background and medical needs. Family-centered clinical intervention models and dialogue tools for pediatric Advance Care Planning have been developed abroad, which have been shown to be conducive to protecting children's right to independent decision-making, enhancing medical decision-making compliance, and assisting families to make joint decisions and alleviate family grief. This paper reviews the current development status of family-centered pediatric Advance Care Planning, expounds its feasibility, analyzes its development resistance and proposes relevant practice strategies, in order to promote the development of pediatric Advance Care Planning in China.

Key words: pediatric Advance Care Planning; family-centered; terminal period; palliative care for children; hospice care