Al-Ansari Ameena, Suroor Saleem, AboSerea Sobhi, Abd-El-Gawad Wafaa Mostafa
Palliative Care Center, Kuwait Ministry of Health, Al Sabah Medical Area, Kuwait.
Palliative Care Center, Kuwait Ministry of Health, Al Sabah Medical Area, Kuwait
BMJ Support Palliat Care. 2020 Nov 9. doi: 10.1136/bmjspcare-2019-002141.
Although the challenges of integrating palliative care practices across care settings are real and well recognised, to date little is known about palliative care practices of emergency physicians (EPs) in Kuwait. Therefore, this study aims to explore the attitude and knowledge of EPs in providing palliative care in all general hospitals in Kuwait.
A cross-sectional survey was performed in the emergency rooms of all general hospitals in Kuwait using the Palliative Care Attitude and Knowledge Questionnaire.
Of the total number of physicians working in emergency rooms (n=156), 104 (66.67%) had completed the survey. 76.9% (n=80) of the EPs had an uncertain attitude towards palliative care. Most of the EPs (n=73, 70.28%) did not discuss the patients' need for palliative care either with the patients or with their families. Only 16 (15.4%) of the EPs responded correctly to most of the questions while nearly half of the EPs (n=51, 49%) had poor knowledge. Experience ≥11 years and better knowledge scores were independent predictors of positive attitude after adjustment of age, sex, qualifications, specialty, position and nationality (OR: 5.747 (CI 1.031 to 25.00), 1.458(CI 1.148 to 1.851); p values: 0.021, 0.002, respectively).
Despite recognising palliative care as an important competence, the majority of the EPs in Kuwait had uncertain attitude and poor knowledge towards palliative care. Efforts should be made to enhance physician training and provide palliative care resources to improve the quality of care given to patients visiting emergency departments.
尽管在不同医疗机构整合姑息治疗实践面临的挑战是切实存在且广为人知的，但迄今为止，对于科威特急诊医师的姑息治疗实践了解甚少。因此，本研究旨在探讨科威特所有综合医院急诊医师在提供姑息治疗方面的态度和知识。
使用姑息治疗态度与知识问卷，在科威特所有综合医院的急诊室进行了一项横断面调查。
在急诊室工作的医师总数（n = 156）中，104名（66.67%）完成了调查。76.9%（n = 80）的急诊医师对姑息治疗态度不明确。大多数急诊医师（n = 73，70.28%）既未与患者也未与患者家属讨论过患者对姑息治疗的需求。只有16名（15.4%）急诊医师对大多数问题回答正确，而近一半的急诊医师（n = 51，49%）知识水平较差。在调整年龄、性别、资质、专业、职位和国籍后，≥11年的工作经验和更高的知识得分是积极态度的独立预测因素（比值比：5.747（95%置信区间1.031至25.00），1.458（95%置信区间1.148至1.851）；p值分别为0.021、0.002）。
尽管认识到姑息治疗是一项重要技能，但科威特大多数急诊医师对姑息治疗态度不明确且知识水平较差。应努力加强医师培训并提供姑息治疗资源，以提高急诊患者的护理质量。
