Zhang Zhe, Chen Meng-Lei, Gu Xiao-Li, Liu Ming-Hui, Cheng Wen-Wu
Department of Integrated Therapy, Fudan University Shanghai Cancer Center, Shanghai, China Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Department of Integrated Therapy, Fudan University Shanghai Cancer Center, Shanghai, China Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
Am J Hosp Palliat Care. 2015 Mar;32(2):210-5. doi: 10.1177/1049909113520215. Epub 2014 Jan 23.
End-of-life (EOL) decision making is based on the values and wishes of terminally ill patients. However, little is known on the extent to which cultural factors affect personal attitudes toward life-sustaining treatments (LSTs) such as cardiopulmonary resuscitation (CPR) in China. This study evaluated the cultural and ethical considerations during EOL decisions and assessed the factors that affect pursuing LSTs in China. We used a case-control study design and compared their baseline characteristics with the provided EOL care and treatments. The CPR treatment among patients with cancer at EOL was affected by Chinese family traditions and Western influences. Our results reflect the need to improve EOL care and treatment in China.
临终决策基于绝症患者的价值观和愿望。然而,在中国,文化因素在多大程度上影响个人对诸如心肺复苏术(CPR)等维持生命治疗(LSTs)的态度,目前所知甚少。本研究评估了临终决策过程中的文化和伦理考量,并评估了在中国影响寻求维持生命治疗的因素。我们采用病例对照研究设计,并将他们的基线特征与所提供的临终护理和治疗进行比较。癌症患者临终时的心肺复苏治疗受到中国家庭传统和西方影响。我们的结果反映了中国改善临终护理和治疗的必要性。