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波兰医生、护士和没有绝症专业经验的人对安乐死的态度。

Attitudes toward euthanasia among Polish physicians, nurses and people who have no professional experience with the terminally ill.

机构信息

Faculty of Psychology and Humanistic Science, The Andrzej Frycz Modrzewski Krakow University, 1 Gustawa Herlinga-Grudzinskiego St., 30-705, Krakow, Poland,

出版信息

Adv Exp Med Biol. 2013;788:407-12. doi: 10.1007/978-94-007-6627-3_55.

Abstract

Euthanasia is an issue that generates an extensive social debate. Euthanasia is generally classified as either active or passive. The former is usually defined as taking specific steps to cause the patient's death, while the latter is described as withdrawal of medical treatment with the deliberate intention of bringing the patient's life to an end. The dispute on euthanasia involves a multitude of aspects including religious, legal, cultural, ethical, medical, and spiritual issues. The purpose of the present study was to examine the views of medical professionals toward the highly controversial issue of euthanasia. Accordingly, the research has been conducted among a group of Polish nurses and physicians working in Intensive Care and Oncology Units. Their views have been compared to those of the control group, which included the members of the general public, who do not work in medical profession. It was expected that the education and training and the day-to-day exposure to vegetative patients might influence the views of medical personnel concerning euthanasia. The research demonstrated that the members of all groups supported liberal views. Conservative views were not popular among the respondents. The physicians turned out to be the least conservative group. The survey has also demonstrated that there is a broad consensus that informational and psychological support should be provided to terminally ill patients and their relatives. The attitude toward the passive form of euthanasia seems to have broad support. In particular doctors tend to approve this form of bringing a terminally ill patient's life to an end. The active euthanasia is regarded with much less favor and physicians, in particular, appear to disapprove of it.

摘要

安乐死是一个引发广泛社会辩论的问题。安乐死通常分为主动和被动两种。前者通常被定义为采取特定步骤导致患者死亡,而后者则被描述为故意停止医疗治疗以结束患者的生命。安乐死的争议涉及宗教、法律、文化、伦理、医学和精神等多个方面。本研究旨在探讨医疗专业人员对安乐死这一极具争议性问题的看法。为此,研究在波兰重症监护和肿瘤病房的护士和医生群体中进行。他们的观点与对照组进行了比较,对照组包括普通公众,他们不从事医疗行业。人们期望教育和培训以及日常接触植物人患者可能会影响医务人员对安乐死的看法。研究表明,所有群体的成员都支持自由派观点。保守观点在受访者中不受欢迎。医生群体是最不保守的群体。调查还表明,人们广泛认为应该为绝症患者及其家属提供信息和心理支持。被动安乐死的态度似乎得到了广泛支持。特别是医生倾向于批准这种结束绝症患者生命的方式。主动安乐死则不太受欢迎,特别是医生似乎不赞成这种做法。

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