围产期姑息治疗：波兰新生儿科医生和护士面临的障碍及态度
Perinatal palliative care: barriers and attitudes of neonatologists and nurses in Poland.
作者信息
Korzeniewska-Eksterowicz Aleksandra, Respondek-Liberska Maria, Przysło Łukasz, Fendler Wojciech, Młynarski Wojciech, Gulczyńska Ewa
机构信息
Pediatric Palliative Care Unit, Department of Pediatrics, Oncology, Hematology and Diabetology, Medical University of Lodz, 36/50 Sporna Street, 91-738 Lodz, Poland ; Gajusz Foundation, Pediatric Palliative Care Center, Home Hospice for Children of Lodz Region, 87 Dąbrowskiego Street, 93-271 Lodz, Poland.
出版信息
ScientificWorldJournal. 2013 Oct 28;2013:168060. doi: 10.1155/2013/168060. eCollection 2013.
OBJECTIVE
To identify barriers and personnel attitudes towards realization of palliative care principles in neonatological units.
STUDY DESIGN
An anonymous questionnaire was posted to all heads of departments and head nurses of all the 27 neonatological units in the Lodz area.
RESULTS
We received 46 (85%) questionnaires. Final analysis comprised 42 properly filled-in questionnaires (by 22 doctors and 20 nurses). In case of prenatal diagnosis of a lethal defect, 77.27% of doctors and 65% of nurses opted for informing the mother also about the possibility of pregnancy continuation and organization of palliative care after delivery. Most of respondents accepted conditions for abortion pointed by the Polish law. The most common barriers pointed out by both groups were insufficient knowledge of the personnel on palliative medicine and family preference for life sustaining treatment.
CONCLUSIONS
Understanding attitudes of personnel towards palliative care and identification of barriers are a starting point for future efforts to improve the system of neonatological care.
目的
确定新生儿科病房在实现姑息治疗原则方面的障碍及人员态度。
研究设计
向罗兹地区所有27个新生儿科病房的科室主任和护士长发放匿名问卷。
结果
我们收到了46份（85%）问卷。最终分析包括42份填写完整的问卷（由22名医生和20名护士填写）。在产前诊断出致命缺陷的情况下，77.27%的医生和65%的护士选择告知母亲继续妊娠的可能性以及产后组织姑息治疗。大多数受访者接受波兰法律指出的堕胎条件。两组指出的最常见障碍是工作人员对姑息医学的知识不足以及家庭对维持生命治疗的偏好。
结论
了解人员对姑息治疗的态度并识别障碍是未来改善新生儿护理系统努力的起点。
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