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[对安乐死的态度:临终关怀体验的影响]

[Attitudes towards euthanasia: The impact of experiencing end-of-life care].

作者信息

Köhler Norbert, Brähler Elmar, Götze Heide

出版信息

Z Psychosom Med Psychother. 2014;60(4):324-36. doi: 10.13109/zptm.2014.60.4.324.

Abstract

BACKGROUND

It is a matter of debate whether euthanasia should be part of medical practice.

OBJECTIVES

The current study investigates the attitudes of bereaved family members of cancer patients towards euthanasia.

MATERIALS AND METHODS

We conducted a survey with 211 people who had recently lost a close relative to cancer. Participants were asked whether euthanasia should be part of medical practice.Two logistic regression models were calculated in order to determine the factors influencing the attitude towards active euthanasia and assisted suicide.

RESULTS

About 70% and 75% of the respondents approved active euthanasia and assisted suicide, respectively. Religious denomination and psychological distress had a significant impact on the attitude towards active euthanasia. About 10%of the deceased patients had asked for active euthanasia.

CONCLUSIONS

There was no difference between bereaved family members and the general population regarding the acceptance of euthanasia. Attitudes towards active euthanasia are associated with psychological distress and shaped by cultural values rather than by the experience of end-of-life care.

摘要

背景

安乐死是否应成为医疗实践的一部分存在争议。

目的

本研究调查癌症患者丧亲家属对安乐死的态度。

材料与方法

我们对211名近期因癌症失去近亲的人进行了一项调查。参与者被问及安乐死是否应成为医疗实践的一部分。计算了两个逻辑回归模型,以确定影响对主动安乐死和协助自杀态度的因素。

结果

分别约70%和75%的受访者赞成主动安乐死和协助自杀。宗教派别和心理困扰对主动安乐死的态度有显著影响。约10%的已故患者曾要求主动安乐死。

结论

丧亲家属与普通人群在对安乐死的接受程度上没有差异。对主动安乐死的态度与心理困扰相关,且由文化价值观而非临终关怀体验所塑造。

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