Lam R C S, Chien Wai-Tong
TM Hospital, Hospital Authority Hong Kong, Hong Kong SAR, P.R. China.
Open Nurs J. 2007;1:1-5. doi: 10.2174/1874434600701010001. Epub 2007 Jul 26.
The global euthanasia debate by health care professionals has raised important ethical issues concerning the professional duties and responsibilities of nurses caring for terminal patients. The purpose of this study was to examine the attitudes of acutely ill patients towards the practice of euthanasia in Hong Kong. A modified form of the 23-item Questionnaire for General Household Survey scale was used. This cross-sectional survey study was conducted with a stratified sample of in-patients recruited from a wide variety of departments in a regional, acute general hospital. Seventy-seven out of 129 patients responded (59.7%) and a high proportion of patients agreed with the use of euthanasia in the following circumstances: 'where they were a third party', if 'someone they loved' was affected, or if 'they themselves were the patient'. Of the 77 patients, 54 agreed with active euthanasia (70.1%) and 65 with passive (84.4%). The results also indicated that a few socio-demographic characteristics (such as age, gender and household income) statistically significantly correlated with patients' attitudes towards euthanasia. These findings highlight that Chinese patients with acute illness generally accept the use of euthanasia. Further research on the attitudes and perceptions of patients towards the use of euthanasia is recommended, particularly in diverse groups of Chinese and Asian patients with acute or terminal illness.
医护专业人员围绕安乐死展开的全球辩论引发了一些重要的伦理问题,涉及照顾晚期患者的护士的职业职责。本研究旨在调查香港急症患者对安乐死做法的态度。采用了一般住户统计调查量表中23个项目问卷的修改版。这项横断面调查研究的对象是从一家地区性急症综合医院的各个科室招募的住院患者分层样本。129名患者中有77人做出回应(59.7%),很大一部分患者同意在以下情况下使用安乐死:“他们作为第三方”、“他们所爱的人”受到影响或者“他们自己是患者”。在这77名患者中,54人同意积极安乐死(70.1%),65人同意消极安乐死(84.4%)。结果还表明,一些社会人口统计学特征(如年龄、性别和家庭收入)与患者对安乐死的态度在统计学上存在显著相关性。这些发现突出表明,患有急症的中国患者普遍接受安乐死的使用。建议进一步研究患者对安乐死使用的态度和看法,特别是针对不同群体的中国和亚洲急症或晚期疾病患者。