Chacko Ranjitha, Anand Jasmin Ruby, Rajan Amala, John Subhashini, Jeyaseelan Vishalakshi
Junior Lecturer, College of Nursing, Medical Intensive Care Unit.
Int J Palliat Nurs. 2014 Nov;20(11):557-64. doi: 10.12968/ijpn.2014.20.11.557.
This descriptive study set out to explore the end-of-life care perspectives both of patients with advanced carcinoma and of health-care professionals in a tertiary health-care setting in India.
A descriptive approach was undertaken to assess the end-of-life care perspectives from a sample of 140 patients and 40 health-care professionals. Data was collected through structured interviews with the patients and by self-administered questionnaire from the health-care professionals.
There was a significant association in attitudes to artificial prolongation of life with age and religion. Patients placed a higher degree of importance on emotional, social, physical and spiritual dimensions of care compared to the health-care professionals.
There is an urgent call for formulating an end-of-life care policy and advance directives for patients with terminal illness in India. Nurses and physicians should be proactive in offering key supportive services to ensure patient autonomy and facilitate good death.
本描述性研究旨在探索印度一家三级医疗保健机构中晚期癌症患者和医护人员对临终关怀的看法。
采用描述性方法，对140名患者和40名医护人员的样本进行临终关怀看法评估。通过对患者进行结构化访谈以及让医护人员自行填写问卷来收集数据。
在对延长生命的态度与年龄和宗教方面存在显著关联。与医护人员相比，患者更重视护理的情感、社会、身体和精神层面。
印度迫切需要为绝症患者制定临终关怀政策和预先指示。护士和医生应积极提供关键支持服务，以确保患者的自主权并促进善终。
