Chen Elaine, McCann Judith J, Lateef Omar B
Department of Medicine, Division of Pulmonary and Critical Care Medicine, Rush University Medical Center, Chicago, IL, USA Department of Medicine, Division of Geriatrics, Section of Pain and Palliative Medicine, Rush University Medical Center, Chicago, IL, USA
Rush University College of Nursing, Rush University Medical Center, Chicago, IL, USA Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, IL, USA.
Am J Hosp Palliat Care. 2015 Nov;32(7):738-44. doi: 10.1177/1049909114539038. Epub 2014 Jun 16.
Resident physicians provide the most physician care to intensive care unit (ICU) patients. The body of literature about residents' palliative and end-of-life care (PC/EOLC) experiences in the ICU is limited. To our knowledge, this is the first study to assess resident physicians in multiple specialties regarding PC/EOLC in the ICU.
A Web-based survey was developed and administered to all resident physicians in a single academic institution who had completed at least 1 dedicated ICU rotation.
Residents reported moderate comfort in dealing with end-of-life (EOL) issues and felt somewhat prepared to care for critically ill patients at the EOL. Feedback should be provided to residents regarding their PC/EOLC skills, and education should be tailored to residents rotating in the ICU.
住院医师为重症监护病房（ICU）患者提供了大部分的医疗护理。关于住院医师在ICU的姑息治疗和临终关怀（PC/EOLC）经历的文献资料有限。据我们所知，这是第一项评估多个专科住院医师在ICU的PC/EOLC情况的研究。
我们开发了一项基于网络的调查，并对一所学术机构中所有完成至少1次专门ICU轮转的住院医师进行了调查。
住院医师表示在处理临终（EOL）问题时舒适度中等，并且感觉在照顾临终重症患者方面有一定的准备。应该向住院医师提供关于他们PC/EOLC技能的反馈，并且教育应该针对在ICU轮转的住院医师进行量身定制。
