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拉丁美洲的姑息性镇静:实践与态度调查

Palliative sedation in Latin America: survey on practices and attitudes.

作者信息

Moyano Jairo, Zambrano Sofia, Ceballos César, Santacruz Carlos Miguel, Guerrero Carlos

机构信息

Department of Anesthesiology, University Hospital Fundación Santa Fe de Bogotá, Bogotá, SA, Colombia.

出版信息

Support Care Cancer. 2008 May;16(5):431-5. doi: 10.1007/s00520-007-0361-5. Epub 2007 Dec 11.

Abstract

INTRODUCTION

Palliative sedation (PS) is the subject of ethical and legal debates worldwide. Statistics of its utilization are available in developed countries; however, in Latin America, these data are scarcely known. The purpose of this research was to determine the practices and attitudes of palliativists in Latin America towards PS.

MATERIALS AND METHODS

Data was collected during the Latin American Congress on Palliative Care in Isla Margarita, Venezuela. A total of 89 professionals participated in this survey.

RESULTS

It was found that the use of PS was positively associated with being a physician and being members of a palliative care (PC) group. On the other hand, it was found that being a psychologist and identifying barriers toward PS limited its utilization.

DISCUSSION

The findings of this study support the need to establish clinical guidelines for its utilization and to educate other specialists on end-of-life care approaches, and the need to develop PC programs in acute care hospitals in Latin America.

摘要

引言

姑息性镇静(PS)是全球范围内伦理和法律辩论的主题。发达国家有其使用情况的统计数据;然而,在拉丁美洲,这些数据鲜为人知。本研究的目的是确定拉丁美洲姑息治疗专家对PS的实践和态度。

材料与方法

数据收集于委内瑞拉玛格丽塔岛举行的拉丁美洲姑息治疗大会期间。共有89名专业人员参与了这项调查。

结果

发现PS的使用与身为医生以及属于姑息治疗(PC)团队呈正相关。另一方面,发现身为心理学家以及认识到PS存在的障碍限制了其使用。

讨论

本研究结果支持有必要制定其使用的临床指南,并就临终关怀方法对其他专科医生进行培训,以及在拉丁美洲的急症医院开展PC项目。

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