Bravo G, Rodrigue C, Arcand M, Downie J, Dubois M-F, Kaasalaine S, Hertogh C M, Pautex S, Van den Block L
Department of Community Health Sciences, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada; Research Centre on Aging, University Institute of Geriatrics of Sherbrooke, Sherbrooke, QC, Canada.
Research Centre on Aging, University Institute of Geriatrics of Sherbrooke, Sherbrooke, QC, Canada.
Geriatr Nurs. 2018 Jul-Aug;39(4):393-399. doi: 10.1016/j.gerinurse.2017.12.002. Epub 2018 Jan 3.
We conducted a survey in a random sample of 514 Quebec nurses caring for the elderly to assess their attitudes towards extending medical aid in dying to incompetent patients and to explore associated factors. Attitudes were measured using clinical vignettes featuring a hypothetical patient with Alzheimer disease. Vignettes varied according to the stage of the disease (advanced or terminal) and the presence or absence of a written request. Of the 291 respondents, 83.5% agreed with the current legislation that allows physicians to administer aid in dying to competent patients who are at the end of life and suffer unbearably. A similar proportion (83%, p = 0.871) were in favor of extending medical aid in dying to incompetent patients who are at the terminal stage of Alzheimer disease, show signs of distress, and have made a written request before losing capacity.
我们对514名照顾老年人的魁北克护士进行了随机抽样调查，以评估她们对将医疗协助死亡扩展至无行为能力患者的态度，并探究相关因素。态度通过以一名患有阿尔茨海默病的假设患者为特征的临床 vignettes 进行测量。vignettes 根据疾病阶段（晚期或终末期）以及是否有书面请求而有所不同。在291名受访者中，83.5% 赞同现行法律，即允许医生对处于生命末期且遭受无法忍受痛苦的有行为能力患者实施医疗协助死亡。相似比例（83%，p = 0.871）的受访者支持对处于阿尔茨海默病终末期、表现出痛苦迹象且在丧失行为能力前已提出书面请求的无行为能力患者实施医疗协助死亡。
