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关于姑息治疗的态度:儿科重症监护与肿瘤学医护人员的比较

Attitudes about palliative care: a comparison of pediatric critical care and oncology providers.

作者信息

Atwood Melissa A, Hoffmann Raymond G, Yan Ke, Lee K Jane

机构信息

Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA

Department of Pediatrics, Quantitative Health Sciences, Medical College of Wisconsin, Milwaukee, WI, USA.

出版信息

Am J Hosp Palliat Care. 2014 Sep;31(6):665-71. doi: 10.1177/1049909113500844. Epub 2013 Aug 22.

Abstract

INTRODUCTION

Pediatric critical care and oncology providers care for patients who have life-threatening or serious illness, yet they receive little palliative care education.

OBJECTIVE

Compare oncology and critical care providers' attitudes regarding palliative care.

METHODS

An electronic survey assessed respondents' opinions of whether, when, and why palliative care should be utilized.

RESULTS

Response rate was 49%. Critical care physicians were more likely to incorporate palliative care for psychosocial support; oncologists for symptom control. Those with palliative care education were more likely to involve in palliative care, did so earlier and for reasons other than end-of-life planning.

CONCLUSIONS

Oncology and critical care providers utilized palliative care for different reasons.

摘要

引言

儿科重症监护和肿瘤学医护人员照顾患有危及生命或严重疾病的患者,但他们接受的姑息治疗教育很少。

目的

比较肿瘤学和重症监护医护人员对姑息治疗的态度。

方法

一项电子调查评估了受访者对是否、何时以及为何应采用姑息治疗的看法。

结果

回复率为49%。重症监护医生更倾向于将姑息治疗用于心理社会支持;肿瘤学家则用于症状控制。接受过姑息治疗教育的人员更有可能参与姑息治疗,更早参与且原因并非临终规划。

结论

肿瘤学和重症监护医护人员采用姑息治疗的原因不同。

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