宗教、风险与临终医疗决策
Religion, risk, and medical decision making at the end of life.
作者信息
Van Ness Peter H, Towle Virginia R, O'Leary John R, Fried Terri R
机构信息
Yale University School of Medicine, Department of Internal Medicine, Program On Aging, and Yale School of Public Health, 300 George Street, Suite 775, New Haven, CT 06511, USA.
出版信息
J Aging Health. 2008 Aug;20(5):545-59. doi: 10.1177/0898264308317538. Epub 2008 Apr 28.
OBJECTIVE
The purpose of this study is to present empirical evidence about whether religious patients are more or less willing to undergo the risks associated with potentially life-sustaining treatment.
METHODS
At least every 4 months 226 older community-dwelling persons with advanced cancer, congestive heart failure, or chronic obstructive pulmonary disease were asked questions about several dimensions of religiousness and about their willingness to accept potentially life-sustaining treatment.
RESULTS
Results were mixed but persons who said that during their illness they grew closer to God (odds ratio [OR] = 1.79; 95% confidence intervals [CI] = 1.15, 2.78) or those grew spiritually (OR = 1.61; 95% CI = 1.03, 2.52) were more willing to accept risk associated with potentially life-sustaining treatment than were persons who did not report such growth.
DISCUSSION
Not all dimensions of religiousness have the same association with willingness to undergo potentially life-sustaining treatment. Seriously ill older, religious patients are not especially predisposed to avoid risk and resist treatment.
目的
本研究旨在提供实证证据，以证明宗教信仰者对接受维持生命治疗相关风险的意愿程度。
方法
至少每4个月对226名患有晚期癌症、充血性心力衰竭或慢性阻塞性肺疾病的社区老年居民进行调查，询问他们在宗教信仰的几个维度方面的情况，以及他们接受维持生命治疗的意愿。
结果
结果不一，但那些表示在患病期间与上帝关系更亲近的人（优势比[OR]=1.79；95%置信区间[CI]=1.15，2.78）或精神上有所成长的人（OR=1.61；95%CI=1.03，2.52）比未报告有此类成长的人更愿意接受维持生命治疗相关的风险。
讨论
并非宗教信仰的所有维度都与接受维持生命治疗的意愿有相同的关联。身患重病的老年宗教信仰患者并非特别倾向于规避风险和抗拒治疗。
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