Kumar Ameet, Naqvi Syeda, Giyanwani Pirthvi Raj, Yousuf Fareeha, Masnoon Aaliya, Bai Kiran, Kumar Deepak
Department of Medicine, Macneal Hospital.
Jinnah Postgraduate Medical Centre, Jinnah Sindh Medical University (SMC).
Cureus. 2017 Jul 24;9(7):e1510. doi: 10.7759/cureus.1510.
Background A serene death may be achieved through skilled and compassionate care, as well as by the dying person's own sense of having lived a righteous life. The purpose of this study is to acquire information about students' knowledge and understanding of euthanasia. Materials and Methods Four hundred and fifty-six students from four classes of two institutions with similar demographic characteristics were included in this cross-sectional study. A questionnaire adapted from a study of 'Gruber, et al.' was distributed among the respondents after obtaining a verbal informed consent. The questionnaire had two parts, first dealing with demographics of respondents, and in the second part students were given different situations and asked about their decision in that particular setting to understand their opinion about euthanasia. Results There were 31.7% medical students and 12.9% non-medical students in favor to provide complete medical information (p < 0.001) while 59.2% non-medical students thought that complete information should be given to a patient if any iatrogenic incident occurred. Same favored by 33.7% of medical students (p < 0.001). The majority of medical students (84.5%) felt that cardiopulmonary resuscitation (CPR) must always be provided (p < 0.001) and this was acceptable more among females (p = 0.001). Furthermore, medical students (57.6%) were more in favor of continuing maximum medical treatment including CPR than non-medical students (42.9%, p = 0.003). A total of 83% non-medical students and 46% medical students found euthanasia an acceptable practice. Conclusion Results show a significant difference in perception of medical and non-medical students regarding euthanasia. Non-medical students are more in favor of euthanasia than medical students. Also, it is observed that males seem to be more inclined towards euthanasia while females are more in favor to provide maximum medical treatment.
背景 安详离世可通过专业且富有同情心的护理来实现,也可借助临终者自身对过着正义生活的感受来达成。本研究的目的是获取有关学生对安乐死的知识和理解的信息。
材料与方法 本横断面研究纳入了来自两个机构四个班级的456名具有相似人口统计学特征的学生。在获得口头知情同意后,向受访者发放了一份改编自“格鲁伯等人”研究的问卷。问卷有两部分,第一部分涉及受访者的人口统计学信息,第二部分向学生呈现不同的情景,并询问他们在特定情况下的决定,以了解他们对安乐死的看法。
结果 31.7%的医学生和12.9%的非医学生赞成提供完整的医疗信息(p<0.001),而59.2%的非医学生认为如果发生任何医源性事件,应向患者提供完整信息。33.7%的医学生也持相同观点(p<0.001)。大多数医学生(84.5%)认为必须始终进行心肺复苏(CPR)(p<0.001),女性对此的接受度更高(p=0.001)。此外,医学生(57.6%)比非医学生(42.9%,p=0.003)更倾向于继续进行包括心肺复苏在内的最大程度的医疗治疗。共有83%的非医学生和46%的医学生认为安乐死是一种可接受的做法。
结论 结果表明,医学生和非医学生对安乐死的看法存在显著差异。非医学生比医学生更赞成安乐死。此外,观察到男性似乎更倾向于安乐死,而女性更倾向于提供最大程度的医疗治疗。