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医护人员、晚期癌症患者亲属和公众对安乐死和医师协助自杀的态度。

Attitudes of health care professionals, relatives of advanced cancer patients and public towards euthanasia and physician assisted suicide.

机构信息

Clinical Psychology, Pain Relief and Palliative Care Unit, Dept. of Radiology, Areteion Hospital, School of Medicine, University of Athens, 27 Korinthias St., Athens, Greece.

出版信息

Health Policy. 2010 Oct;97(2-3):160-5. doi: 10.1016/j.healthpol.2010.04.008. Epub 2010 May 21.

Abstract

OBJECTIVES

Nowadays, euthanasia has the meaning of the direct administration of a lethal agent to the patient by another party with a merciful intent after patients' request. Physician assisted suicide refers to the patient intentionally and wilfully ending his or her own life with the assistance of a physician. The objectives of the manuscript were to investigate the opinions of Greek physicians, nurses, lay people and relatives of advanced cancer patients on euthanasia and physician assisted suicide.

METHODS

The final sample consisted of 215 physicians, 250 nurses, 218 relatives and 246 lay people. A survey questionnaire was used concerning issues such as euthanasia and physician assisted suicide. The survey instrument included 13 questions and described issues such as religious and spiritual beliefs, euthanasia, physician assisted suicide and decision-making situations.

RESULTS

43.3% physicians and 41.3% relatives would agree in advance that in case of heart and/or respiratory arrest there would not be an effort to revive a terminally ill cancer patient. 20.5% physicians had a request for euthanasia. Significant associations were found between physicians (9.3%), relatives (1.8%, p=0.001) and lay people (3.7%, p=0.020) on their opinions regarding withdrawing treatment.

CONCLUSIONS

The majority of the participants were opposed to euthanasia and physician assisted suicide. However many would agree to the legalization of an advanced cancer patient's hastened death.

摘要

目的

如今,安乐死的含义是在患者请求后,由另一方出于仁慈意图向患者直接施用致命药物。医师协助自杀是指患者在医师的协助下故意和自愿结束自己的生命。本文的目的是调查希腊医生、护士、普通民众和晚期癌症患者亲属对安乐死和医师协助自杀的看法。

方法

最终样本包括 215 名医生、250 名护士、218 名亲属和 246 名普通民众。使用问卷调查表调查了安乐死和医师协助自杀等问题。调查工具包括 13 个问题,描述了宗教和精神信仰、安乐死、医师协助自杀和决策情况等问题。

结果

43.3%的医生和 41.3%的亲属会事先同意,如果晚期癌症患者出现心脏和/或呼吸停止,将不会努力复苏他们。20.5%的医生提出了安乐死的请求。医生(9.3%)、亲属(1.8%,p=0.001)和普通民众(3.7%,p=0.020)在停止治疗的意见上存在显著关联。

结论

大多数参与者反对安乐死和医师协助自杀。然而,许多人会同意将晚期癌症患者的加速死亡合法化。

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