医护人员对临终关怀的态度、价值观及实践
End-of-life care attitudes, values, and practices among health care workers.
作者信息
Goel Ashish, Chhabra Gaurav, Weijma Robyn, Solari Marla, Thornton Sarah, Achondo Bernardita, Pruthi Sonal, Gupta Vineet, Kalantri S P, Ramavat Anurag S, Kalra O P
机构信息
1University College of Medical Sciences, Delhi, India.
出版信息
Am J Hosp Palliat Care. 2014 Mar;31(2):139-47. doi: 10.1177/1049909113479440. Epub 2013 Mar 1.
INTRODUCTION
This study aims to ascertain attitudes of health care workers on end-of-life care (EOLC) issues and to highlight the disparity that exists in countries with different backgrounds.
METHODS
It is a cross-sectional questionnaire survey across heterogeneous health care providers in India, Chile, the United Kingdom, and the Netherlands using an indigenously prepared questionnaire considering regional variations, covering different areas of EOLC.
RESULTS
Of the 109 participants, 68 (62.4%) felt that cardiopulmonary resuscitation should be done selectively, 25 (22.9%) had come in contact with at least 1 patient who had asked them to hasten death, and 36 (33%) felt that training was insufficient to prepare them for skills in issues of EOLC.
CONCLUSION
To avoid cumbersome through well-meant interventions, it is important that the caregiving team is aware of the patient's own wishes with respect to EOLC issues.
引言
本研究旨在确定医护人员对临终关怀（EOLC）问题的态度，并突出不同背景国家之间存在的差异。
方法
这是一项针对印度、智利、英国和荷兰不同类型医护人员的横断面问卷调查，使用一份根据地区差异自行编制的问卷，涵盖临终关怀的不同领域。
结果
在109名参与者中，68人（62.4%）认为应选择性地进行心肺复苏，25人（22.9%）至少接触过1名要求他们加速死亡的患者，36人（33%）认为培训不足以让他们掌握临终关怀问题的技能。
结论
为避免因善意干预而带来麻烦，护理团队了解患者对临终关怀问题的自身意愿非常重要。
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