医生应该对刚去世的患者练习复苏技能吗？一项民意调查。
Should doctors practise resuscitation skills on newly deceased patients? A survey of public opinion.
作者信息
Tachakra S, Ho S, Lynch M, Newson R
机构信息
Central Middlesex Hospital, London, UK.
出版信息
J R Soc Med. 1998 Nov;91(11):576-8. doi: 10.1177/014107689809101107.
Trainee doctors must acquire skills in resuscitation, but opportunities for learning on real patients are limited. One option is to practise these skills in newly deceased patients. We sought opinions from 400 multiethnic guests at an open-access dinner dance for members of a local community. The questionnaire could elicit the responses strongly agree, agree, unsure, disagree or strongly disagree. 332 (83%) guests responded. For non-invasive techniques, 32% of responders supported practice without consent, 74% with consent. Support diminished with increasing invasiveness of procedure. 91% of the sample were uncomfortable about the procedures, the commonest reason being 'respect for the body' (264/302). 86% of responders felt that practice should last for no more than 5 minutes. The most popular solutions were for people to carry a personal card giving consent (89%) and establishment of a central register of individuals consenting to be practised upon after death (79%).
实习医生必须掌握复苏技能，但在真实患者身上学习的机会有限。一种选择是在刚去世的患者身上练习这些技能。我们在一次面向当地社区成员的开放式晚宴舞会上，征求了400位不同种族嘉宾的意见。调查问卷可以引出强烈同意、同意、不确定、不同意或强烈不同意的回答。332位（83%）嘉宾做出了回应。对于非侵入性技术，32%的受访者支持未经同意进行练习，74%的受访者支持在获得同意后进行练习。随着操作侵入性的增加，支持率下降。91%的样本对这些操作感到不舒服，最常见的原因是“尊重遗体”（264/302）。86%的受访者认为练习时间不应超过5分钟。最受欢迎的解决方案是让人们携带一张给予同意的个人卡片（89%），以及建立一个同意在死后接受练习的个人中央登记册（79%）。
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