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探讨加拿大安大略省兽医在实施伴侣动物安乐死时,采用的旨在理解和为客户提供情感支持的实践。

Exploring veterinarians' use of practices aimed at understanding and providing emotional support to clients during companion animal euthanasia in Ontario, Canada.

机构信息

Department of Population Medicine, University of Guelph, Ontario Veterinary College, Guelph, Ontario, Canada

Department of Population Medicine, University of Guelph, Ontario Veterinary College, Guelph, Ontario, Canada.

出版信息

Vet Rec. 2020 Oct 31;187(9):e74. doi: 10.1136/vr.105659. Epub 2020 Apr 6.

Abstract

BACKGROUND

During companion animal euthanasia, support of clients is equally important as the medical care of the companion animal and requires a clear and developed understanding of clients' feelings, needs and expectations. Yet, veterinarians may not be fully exploring such topics.

METHODS

A 65-item online questionnaire was developed and distributed to veterinarians (n=368) in Ontario to explore veterinarians' use of practices aimed at understanding and providing support during companion animal euthanasia. Measures included veterinarians' use of previously identified communication and support practices, empathy, years in practice and amount of time scheduled for euthanasia appointments. Data were analysed using descriptive statistics and multivariable regression.

RESULTS

Veterinarians reported consistently providing emotional support but inconsistently implementing practices that may assist in enhancing their understanding of clients' expectations, previous or emotional experiences. Veterinarians' empathy scores, years in practice and the amount of time scheduled for euthanasia were positively associated with use of these practices.

CONCLUSION

Providing adequate time (ideally >30 min) for euthanasia appointments may assist in efforts to understand clients' experiences, expectations and emotions, and provide support. Combining empathy, hands-on and self-care training in veterinary curriculum may also be valuable in improving the comfort level and skill of veterinarians in providing compassionate care.

摘要

背景

在伴侣动物实施安乐死时,对客户的支持与动物的医疗护理同等重要,这需要兽医对客户的感受、需求和期望有清晰和深入的了解。然而,兽医可能并未充分探讨这些问题。

方法

本研究开发了一份 65 项的在线调查问卷,并分发给安大略省的兽医(n=368),以探讨兽医在伴侣动物安乐死过程中使用哪些旨在了解和提供支持的实践。评估指标包括兽医使用先前确定的沟通和支持实践、同理心、从业年限以及为安乐死预约安排的时间。采用描述性统计和多变量回归进行数据分析。

结果

兽医报告称他们持续提供情感支持,但在实施可能有助于增强其对客户期望、先前或情感体验的理解的实践方面并不一致。兽医的同理心评分、从业年限以及为安乐死预约安排的时间与这些实践的使用呈正相关。

结论

为安乐死预约安排足够的时间(理想情况下 >30 分钟)可能有助于兽医了解客户的经历、期望和情绪,并提供支持。在兽医课程中结合同理心、实践技能和自我保健培训也可能有助于提高兽医提供同情关怀的舒适度和技能。

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