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关于晚期癌症患者喂食的伦理推理。对有照顾癌症患者经验的注册护士进行的访谈。

Ethical reasoning concerning the feeding of terminally ill cancer patients. Interviews with registered nurses experienced in the care of cancer patients.

作者信息

Jansson L, Norberg A

出版信息

Cancer Nurs. 1989 Dec;12(6):352-8.

PMID:2512007
Abstract

In the terminal phase of life, some cancer patients have problems eating. Caregivers then have to decide whether or not to provide the patients with food by artificial means. Taped interviews concerning the treatment of terminally ill, mentally alert, old cancer patients who refuse food were conducted with 20 registered nurses who were regarded as "experienced and good nurses." Not one of these nurses considered using force or violence against the patients. It seemed that the question about whether to feed the patient was not as urgent as the question of whether to accept active euthanasia. The interviewees seemed quite certain about how they would treat the patient in different circumstances, but found it difficult to justify their judgements. Several stressed the importance of their personal experience with dying persons, and thought that one should act according to the Golden Rule.

摘要

在生命的终末期,一些癌症患者存在进食问题。于是,护理人员不得不决定是否通过人工手段为患者提供食物。对20名被视为“经验丰富且优秀”的注册护士进行了关于拒绝进食的身患绝症、意识清醒的老年癌症患者治疗问题的录音采访。这些护士中没有一个人考虑过对患者使用武力或暴力。似乎是否给患者喂食的问题并不像是否接受主动安乐死的问题那么紧迫。受访者似乎很确定在不同情况下他们会如何对待患者,但很难为自己的判断找到依据。有几位强调了他们与垂危患者的个人经历的重要性,并认为人们应该按照黄金法则行事。

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