Bulgarian Academy of Sciences, Acad. G., Bonchev str., bl. 23, 1113 Sofia, Bulgaria,
Psychiatr Danub. 2019 Dec;31(4):465-472. doi: 10.24869/psyd.2019.465.
Recommendations of the European Association for Palliative Care have been proposed to strengthen the provision of palliative care and it is clear that people with dementia can benefit from palliative care, but no research so far addresses the beliefs of university students and professionals in the social, medical and other science fields in South East Europe regarding the need from palliative care. The objective of this study is to explore when students and professionals consider a person with dementia in need of palliative care and to compare their opinions in three South East European countries.
An anonymized questionnaire was used based on van Riet Paap et al. (2015) case-vignette. A sample of 1287 participants (student nurses, professional nurses, psychology students, professional psychologists, student doctors, professional doctors, and students and professionals from other non-relevant to medical and social care sciences) was examined in Greece, Bulgaria and Romania.
The open responses to the "when" question revealed the categories: after her diagnosis/after the first symptoms; when she and her family cannot cope; at the advance of symptoms; all the time; when she behaves aggressively; I am not sure/there is no specific point. Unexpectedly, age, professional status and field of studies were not found to be significant predictors, but only the country of origin was found to contribute to the differences in the participants' answers regarding the start of palliative care.
Although professional-student status and relevancy of subject did not predict opinions, the country of origin predicted controversies for the proposed time point of considering a person with dementia in need of palliative care.
欧洲姑息治疗协会提出了建议，以加强姑息治疗的提供，很明显，痴呆症患者可以从姑息治疗中受益，但迄今为止，没有研究涉及东南欧大学生和专业人士在社会、医学和其他科学领域对姑息治疗需求的信念。本研究的目的是探讨大学生和专业人士何时认为痴呆症患者需要姑息治疗，并比较这三个东南欧国家的观点。
采用基于 van Riet Paap 等人（2015 年）病例描述的匿名问卷。在希腊、保加利亚和罗马尼亚，对 1287 名参与者（护士学生、专业护士、心理学学生、专业心理学家、医学生、专业医生，以及来自与医学和社会保健科学无关的其他专业的学生和专业人士）进行了抽样调查。
对“何时”问题的开放式回答揭示了以下类别：在诊断后/出现最初症状后；当她和她的家人无法应对时；在症状加重时；一直；当她表现得具有攻击性时；我不确定/没有特定的时间点。出乎意料的是，年龄、专业地位和研究领域并不是显著的预测因素，只有原籍国被发现对参与者关于开始姑息治疗的回答差异有贡献。
尽管专业-学生地位和学科相关性并没有预测观点，但原籍国预测了对痴呆症患者需要姑息治疗的提议时间点的争议。
