Spitznagel Mary Beth, Marchitelli Beth, Gardner Mary, Carlson Mark D
Department of Psychological Sciences, Kent State University, Kent Hall, Kent, OH 44242, USA.
4 Paws Farewell: Mobile Pet Hospice, Palliative Care and Home Euthanasia, Asheville, NC, USA.
Vet Clin North Am Small Anim Pract. 2020 May;50(3):591-605. doi: 10.1016/j.cvsm.2019.12.008. Epub 2020 Feb 27.
End-of-life decision making for a companion animal relies on the veterinarian acting as educator and counselor. However, little research has been conducted to understand client variables in this context. The current study examined potential client-related contributors to steps taken toward a euthanasia decision. Caregiver burden, anticipatory grief, depression, stress, and income all correlated positively with this outcome. However, when client factors were examined in a regression model controlling for animal quality of life, only caregiver burden and income emerged as significant predictors. All 3 caregiver burden factors: general strain, affective/relational discomfort, and guilt/uncertainty were significantly related to consideration of euthanasia.
伴侣动物的临终决策依赖于兽医扮演教育者和顾问的角色。然而，在这种背景下，为了解客户变量而开展的研究很少。当前的研究调查了与客户相关的潜在因素对安乐死决策步骤的影响。照顾者负担、预期性悲伤、抑郁、压力和收入均与这一结果呈正相关。然而，在控制动物生活质量的回归模型中考察客户因素时，只有照顾者负担和收入成为显著的预测因素。照顾者负担的所有三个因素：总体压力、情感/关系不适以及内疚/不确定性均与安乐死的考虑显著相关。
