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[费罗尔健康区基层医疗医生与专科医生对生前预嘱的认知与态度]

[Knowledge and attitudes as regards Living Wills between Primary and Specialised Care Doctors in the Ferrol Health Area].

作者信息

Ameneiros-Lago Eugenia, Carballada-Rico Carmen, Garrido-Sanjuán Juan Antonio

机构信息

Servicio de Medicina Interna, Hospital Arquitecto Marcide, Ferrol, España.

出版信息

Rev Calid Asist. 2013 Mar-Apr;28(2):109-16. doi: 10.1016/j.cali.2012.07.002. Epub 2012 Sep 13.

Abstract

OBJECTIVES

To evaluate the knowledge, the experience and the attitudes of the health professionals of Primary (PC) and Specialized (SC) Carein our Health Area with respect to Living Wills (LW).

MATERIAL AND METHOD

Descriptive, cross-sectional study, by means of a survey addressed to PC and SC doctors Ferrol (Galicia, Spain) Health Area

RESULTS

A total of 120 (42.85%) doctors completed the questionnaire.The professionals self-assessed their level of knowledge with a mean of 3.83 (rank from 0 to 10). Only 21 professionals (17.5%) had objective knowledge of LW, that is to say, they fulfilled the following premises: they had read some pieces of LW legislation, had read an LW document and knew the elements that could figure in it. There were differences that verged on the statistical significance in the objective knowledge between PC and SC doctors (11.7% versus 23.3%, P= .093) and between professionals with under 10 years of professional experience and those with more than 10 years (6.9% versus 21.1%, P=.081). These differences reached statistical significance in some of the items that valued the objective knowledge. A few professionals (28 (23.3%)), had explained to their patients the convenience of having written an LW document, and even fewer (8 (6,7%)) had helped patients with writing one.

CONCLUSIONS

The knowledge of health care professionals can be clearly improved. The highest deficiency was found between PC professionals and those with less experience. Nevertheless, they showed a favourable attitude towards them.

摘要

目的

评估我们健康领域初级保健(PC)和专科保健(SC)的卫生专业人员关于生前预嘱(LW)的知识、经验和态度。

材料与方法

采用描述性横断面研究,通过对西班牙加利西亚费罗尔健康领域的PC和SC医生进行调查。

结果

共有120名(42.85%)医生完成了问卷。专业人员对自己知识水平的自我评估平均分为3.83(0至10分)。只有21名专业人员(17.5%)对生前预嘱有客观认识,也就是说,他们满足以下条件:读过一些生前预嘱相关立法,读过一份生前预嘱文件,并且知道其中可能包含的要素。PC医生和SC医生之间以及专业经验不足10年和超过10年的专业人员之间在客观知识方面存在接近统计学意义的差异(11.7%对23.3%,P = 0.093)以及(6.9%对21.1%,P = 0.081)。这些差异在一些评估客观知识的项目中具有统计学意义。少数专业人员(28名(23.3%))向患者解释过撰写生前预嘱文件的便利性,甚至更少(8名(6.7%))帮助患者撰写过。

结论

卫生保健专业人员的知识可以明显提高。发现PC专业人员和经验较少的人员之间存在最大不足。然而,他们对生前预嘱表现出积极的态度。

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