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《克莱伊斯 - 莱奥内蒂法》下法国的临终实践:肿瘤科室三例报告

End-of-Life Practices in France under the Claeys-Leonetti Law: Report of Three Cases in the Oncology Unit.

作者信息

de Nonneville Alexandre, Marin Anthony, Chabal Theo, Tuzzolino Veronique, Fichaux Marie, Salas Sebastien

机构信息

Department of Oncology and Palliative Care, Timone Hospital, Marseille, France; Aix Marseille University, Marseille, France.

Department of Oncology and Palliative Care, Timone Hospital, Marseille, France.

出版信息

Case Rep Oncol. 2016 Oct 20;9(3):650-654. doi: 10.1159/000450940. eCollection 2016 Sep-Dec.

DOI:10.1159/000450940
PMID:27920697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5118829/
Abstract

On February 2, 2016, the French government enacted the Claeys-Leonetti law introducing the right to deep and continuous sedation and forbade euthanasia for end-of-life patients. This article reports the first descriptions of this kind of intervention at the final stage of life of 3 patients and highlights the need of patient-centered goals and the importance of close collaboration between the patient, family, and medical and paramedical team to achieve a higher quality of final palliative care.

摘要

2016年2月2日,法国政府颁布了《克莱伊斯 - 莱奥内蒂法》,引入了深度持续镇静的权利,并禁止对临终患者实施安乐死。本文报道了对3名患者临终阶段此类干预措施的首次描述,并强调了以患者为中心的目标的必要性,以及患者、家属与医疗及辅助医疗团队密切合作对于实现更高质量临终姑息治疗的重要性。

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End-of-Life Practices in France under the Claeys-Leonetti Law: Report of Three Cases in the Oncology Unit.《克莱伊斯 - 莱奥内蒂法》下法国的临终实践:肿瘤科室三例报告
Case Rep Oncol. 2016 Oct 20;9(3):650-654. doi: 10.1159/000450940. eCollection 2016 Sep-Dec.
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引用本文的文献

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Medical staff opposition to a deep and continuous palliative sedation request under Claeys-Leonetti law.医护人员反对根据克莱莱-莱昂内蒂法提出的深度和持续缓和性镇静请求。
BMC Palliat Care. 2019 Jan 8;18(1):2. doi: 10.1186/s12904-018-0384-3.
2
Determinants of favorable or unfavorable opinion about euthanasia in a sample of French cancer patients receiving palliative care.在接受姑息治疗的法国癌症患者样本中,对安乐死的有利或不利意见的决定因素。
BMC Palliat Care. 2018 Aug 29;17(1):104. doi: 10.1186/s12904-018-0357-6.
3
The 'French exception': the right to continuous deep sedation at the end of life.“法国例外”:生命终末期持续深度镇静的权利。
J Med Ethics. 2018 Mar;44(3):204-205. doi: 10.1136/medethics-2017-104484. Epub 2017 Oct 22.

本文引用的文献

1
[Principles and challenges of law n° 2016-87 of 2 February 2016 creating new rights for the sick and the end-of-life].[2016年2月2日第2016 - 87号法律为病人和临终者创设新权利的原则与挑战]
Rev Prat. 2017 Dec;67(10):1131-1133.
2
Palliative Sedation: An Analysis of International Guidelines and Position Statements.姑息性镇静:国际指南与立场声明分析
Am J Hosp Palliat Care. 2015 Sep;32(6):660-71. doi: 10.1177/1049909114533002. Epub 2014 May 7.
3
Attitudes of health care professionals, relatives of advanced cancer patients and public towards euthanasia and physician assisted suicide.医护人员、晚期癌症患者亲属和公众对安乐死和医师协助自杀的态度。
Health Policy. 2010 Oct;97(2-3):160-5. doi: 10.1016/j.healthpol.2010.04.008. Epub 2010 May 21.
4
Terminal sedation in palliative medicine--definition and review of the literature.姑息医学中的终末期镇静——定义及文献综述
Support Care Cancer. 2001 Sep;9(6):403-7. doi: 10.1007/s005200100235.
5
The relative accuracy of the clinical estimation of the duration of life for patients with end of life cancer.晚期癌症患者生命期限临床预估的相对准确性。
Cancer. 1999 Jul 1;86(1):170-6.