Harris Leslie L, Placencia Frank X, Arnold Jennifer L, Minard Charles G, Harris Toi B, Haidet Paul M
Division of Neonatology, Baylor College of Medicine, Houston, TX, USA
Division of Neonatology, Baylor College of Medicine, Houston, TX, USA.
Am J Hosp Palliat Care. 2015 May;32(3):253-61. doi: 10.1177/1049909114523825. Epub 2014 Apr 16.
Death in tertiary care neonatal intensive care units is a common occurrence. Despite recent advances in pediatric palliative education, evidence indicates that physicians are poorly prepared to care for dying infants and their families. Numerous organizations recommend increased training in palliative and end-of-life care for pediatric physicians. The purpose of this study is to develop a structured end-of-life curriculum for neonatal-perinatal postdoctoral fellows based on previously established principles and curricular guidelines on end-of-life care in the pediatric setting. Results demonstrate statistically significant curriculum effectiveness in increasing fellow knowledge regarding patient qualification for comfort care and withdrawal of support (P = .03). Although not statistically significant, results suggest the curriculum may have improved fellows' knowledge of appropriate end-of-life medical management, comfort with addressing the family, and patient pain assessment and control.
在三级医疗新生儿重症监护病房，死亡是常有的事。尽管儿科姑息治疗教育最近有所进展，但有证据表明，医生在照顾濒死婴儿及其家庭方面准备不足。许多组织建议加强对儿科医生的姑息治疗和临终关怀培训。本研究的目的是根据先前确立的儿科临终关怀原则和课程指南，为新生儿围产期博士后研究员制定一个结构化的临终课程。结果显示，该课程在提高研究员关于患者接受舒适护理和撤除支持的资格知识方面具有统计学上的显著效果（P = .03）。虽然在统计学上不显著，但结果表明该课程可能提高了研究员对适当的临终医疗管理的知识、与家属沟通的能力以及对患者疼痛评估和控制的能力。
