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[医生对死亡与临终的态度]

[Physicians' attitudes toward death and dying].

作者信息

Hegedüs Katalin, Pilling János, Kolosai Nedda, Bognár Tamás, Békés Vera

机构信息

Altalános Orvostudományi Kar, Magatartástudományi Intézet, Semmelweis Egyetem, Budapest.

出版信息

Orv Hetil. 2002 Oct 20;143(42):2385-91.

Abstract

INTRODUCTION

In the study the physicians' knowledge and attitude was examined towards death and dying. During the study a questionnaire survey was executed, including 124 physicians (family doctors from Budapest and from the country, hospital and clinical doctors) in which there were questions edited by the authors and also used the Lester and Neirmeyer scales to assess the fear of death.

AIMS

The aim was to assess how much the physicians were prepared during their education to face with dying people and death, how much they are able to get in touch with dying patients, and how much they are afraid of death.

METHODS

The questionnaires evaluated by the SPSS statistical program.

RESULTS

According to results most physicians in Hungary have a very little knowledge with regard to death and dying. This lack of knowledge, their own fears and refusal in connection with the transitoriness can have a negative influence on their relationship with dying people: their attitudes towards dying are generally negative, many of them try to avoid dealing with the questions worrying the dying people and if after all there is a communication situation most of them avoid the more difficult fields instead.

CONCLUSIONS

To draw attention to these problems, to point out the necessity of the gradual education of issues connected to death and dying and to stress how important is to mold attitudes towards dying people. The study is finished with some particular education program-proposals.

摘要

引言

在该研究中,对医生关于死亡和濒死的知识与态度进行了调查。研究期间开展了问卷调查,调查对象包括124名医生(来自布达佩斯和该国其他地区的家庭医生、医院医生和临床医生),问卷中有作者编写的问题,同时还使用了莱斯特和尼尔迈耶量表来评估对死亡的恐惧。

目的

目的是评估医生在接受教育期间为面对濒死之人和死亡所做的准备程度、他们与濒死患者交流的能力以及他们对死亡的恐惧程度。

方法

问卷由SPSS统计程序进行评估。

结果

根据结果,匈牙利的大多数医生对死亡和濒死了解甚少。这种知识的欠缺、他们自身与短暂性相关的恐惧和回避可能会对他们与濒死之人的关系产生负面影响:他们对濒死的态度总体上是消极的,许多人试图避免处理困扰濒死之人的问题,而且如果毕竟存在交流情况,他们中的大多数人会避开更棘手的领域。

结论

为引起对这些问题的关注,指出逐步开展与死亡和濒死相关问题教育的必要性,并强调塑造对濒死之人态度的重要性。该研究以一些具体的教育项目建议作为结束。

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