Kwon Soo Hoon, Im Sang Hyuk, Cho Ki Won, Cho Eunha, Yoon Su-Jin, Oh So Yeon
Department of Internal Medicine, Seoul Medical Center, Seoul, Republic of Korea.
Am J Hosp Palliat Care. 2012 Dec;29(8):622-6. doi: 10.1177/1049909111435811. Epub 2012 Feb 23.
Although it is assumed that most patients with terminal cancer are reluctant to receive life-sustaining treatment, there is a paucity of evidence supporting this assumption. We retrospectively analyzed the advance directives of terminal cancer patients to determine the preferences of patients. Patients with cancer who had life expectancy of less than 6 months were admitted to a palliative care unit in Seoul Medical Center from March 2008 to February 2010. Among a total of 247 patients, advance directives were present in the medical records of 168 patients (68.0%). Most of the advance directives were written by the patients' families (95.2%) and they stated that they did not want most of the invasive procedures. Patients with advanced cancer mostly requested that only minimally invasive treatments that eased suffering be performed.
尽管人们认为大多数晚期癌症患者不愿接受维持生命的治疗，但支持这一假设的证据却很少。我们回顾性分析了晚期癌症患者的预先医疗指示，以确定患者的偏好。2008年3月至2010年2月期间，预期寿命不足6个月的癌症患者被收治入首尔医疗中心的姑息治疗病房。在总共247名患者中，168名患者（68.0%）的病历中有预先医疗指示。大多数预先医疗指示是由患者家属撰写的（95.2%），他们表示不希望进行大多数侵入性操作。晚期癌症患者大多要求只进行能减轻痛苦的微创治疗。
