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[从大众和患者角度看患者预先医疗指示——对德语国家实证研究的综述]

[Patient advance directives from the population and the patient point of view--a review on empirical studies from German-speaking countries].

作者信息

van Oorschot Birgitt

出版信息

Bull Soc Sci Med Grand Duche Luxemb. 2008(3):443-54.

PMID:19069742
Abstract

About 10% of German general public have an advanced directive (representative surveys between 2002 - 2007). Surveys of patients (cancer, dialysis) show higher percentages (15 - 18%). The anticipated adherence to the advanced directive is lower in patients than in healthy persons or medical staff. To improve autonomy at the end of life not only advanced directives, but also alternative concepts such as Advanced-Care-Planning, emergency plans or stakeholders should be considered.

摘要

约10%的德国普通公众拥有预立医疗指示(2002年至2007年期间的代表性调查)。对患者(癌症、透析患者)的调查显示比例更高(15% - 18%)。患者对预立医疗指示的预期依从性低于健康人或医务人员。为提高临终时的自主性,不仅应考虑预立医疗指示,还应考虑诸如进阶照护规划、应急计划或利益相关者等替代概念。

相似文献

1
[Patient advance directives from the population and the patient point of view--a review on empirical studies from German-speaking countries].[从大众和患者角度看患者预先医疗指示——对德语国家实证研究的综述]
Bull Soc Sci Med Grand Duche Luxemb. 2008(3):443-54.
2
Physician orders to supplement advance directives: rescuing patient autonomy.医生医嘱补充预先指示:挽救患者自主权。
J Clin Ethics. 2009 Fall;20(3):212-9.
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Attitudes towards and barriers to writing advance directives amongst cancer patients, healthy controls, and medical staff.癌症患者、健康对照者及医务人员对预先医疗指示的态度和书写障碍。
J Med Ethics. 2005 Aug;31(8):437-40. doi: 10.1136/jme.2004.009605.
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[Advance health care directives: perception and reality. Results of a random survey].[预先医疗指示:认知与现实。一项随机调查的结果]
Dtsch Med Wochenschr. 2008 Feb;133(5):175-9. doi: 10.1055/s-2008-1017492.
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The advance directive: an expression of autonomy, but also of care.预先医疗指示:一种自主的表达,也是一种关爱的表达。
Ethics Med. 2002 Spring;18(1):15-9.
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[Advance directives in France. Ethical reflections].
Bull Soc Sci Med Grand Duche Luxemb. 2008(3):311-27.
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[Patient advance directives in Germany: not properly established and not present in the clinics].
Bull Soc Sci Med Grand Duche Luxemb. 2008(3):271-7.
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[Different forms of patient advance directives and their importance to particular groups of people].
Bull Soc Sci Med Grand Duche Luxemb. 2008(3):415-27.
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[Advance directives which reveal new relations to care].
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Assessing advance directives in the homebound elderly.评估居家老年人的预先医疗指示。
Am J Hosp Palliat Care. 2009 Feb-Mar;26(1):13-7. doi: 10.1177/1049909108324359. Epub 2008 Oct 8.

引用本文的文献

1
Advance directives in nursing homes: prevalence, validity, significance, and nursing staff adherence.养老院中的预先指示:流行程度、有效性、意义以及护理人员的遵守情况。
Dtsch Arztebl Int. 2012 Sep;109(37):577-83. doi: 10.3238/arztebl.2012.0577. Epub 2012 Sep 14.
2
Managing end-of-life decision making in intensive care medicine--a perspective from Charité Hospital, Germany.重症监护医学中终末决策的管理--来自德国 Charité 医院的观点。
PLoS One. 2012;7(10):e46446. doi: 10.1371/journal.pone.0046446. Epub 2012 Oct 1.