Mattes Malcolm D, Tung Kaity, Baum Rachel, Parikh Kapila, Ashamalla Hani
Department of Radiation Oncology, New York Methodist Hospital, Brooklyn, NY, USA
Department of Radiation Oncology, New York Methodist Hospital, Brooklyn, NY, USA.
Am J Hosp Palliat Care. 2015 Dec;32(8):802-9. doi: 10.1177/1049909114540035. Epub 2014 Jun 16.
An electronic survey was used to assess the views of a diverse nationwide cohort of health care professionals regarding advance care planning and end-of-life care. A total of 645 responses were received. If diagnosed with a serious incurable illness with limited life expectancy, 97% would want to discuss their prognosis, 74% would refuse cardiopulmonary resuscitation, and 72% favored supportive/comfort care to more aggressive life-prolonging treatments. However, prognosis was thought to be discussed with only 52% of such patients, and just 5% thought doctors were either very or extremely successful at explaining advanced life-sustaining treatments to patients. Greater than 90% believed these discussions should best occur when a patient is thought to have one or more years to live and 80% thought they are best initiated in the outpatient setting.
一项电子调查用于评估全国范围内不同的医疗保健专业人员对预立医疗计划和临终护理的看法。共收到645份回复。如果被诊断患有预期寿命有限的严重不治之症，97%的人希望讨论他们的预后，74%的人会拒绝心肺复苏，72%的人倾向于支持性/舒适性护理而非更积极的延长生命治疗。然而，据认为只有52%的此类患者会讨论预后，只有5%的人认为医生在向患者解释高级生命维持治疗方面非常成功或极其成功。超过90%的人认为这些讨论最好在认为患者还有一年或更长时间可活时进行，80%的人认为最好在门诊环境中开始这些讨论。
