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“你会怎么做?”:猫主人如何做出临终决定以及对兽医与客户互动的影响

"What Would You Do?": How Cat Owners Make End-of-Life Decisions and Implications for Veterinary-Client Interactions.

作者信息

Littlewood Katherine, Beausoleil Ngaio, Stafford Kevin, Stephens Christine

机构信息

Animal Welfare Science and Bioethics Centre, School of Veterinary Science, Massey University, Palmerston North 4442, New Zealand.

Animal Science, School of Agriculture and Environment, Massey University, Palmerston North 4442, New Zealand.

出版信息

Animals (Basel). 2021 Apr 13;11(4):1114. doi: 10.3390/ani11041114.

DOI:10.3390/ani11041114
PMID:33924569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8068809/
Abstract

Cats are the most common companion animals in New Zealand. Advances in veterinary care means that cats are living longer and there are many older cats. End-of-life decisions about cats are complicated by owner-cat relationships and other psychosocial factors. Our study explored the ways in which end-of-life decisions were being made by owners of older and chronically ill cats in New Zealand and the role of their veterinarian in the process. Qualitative data were gathered via retrospective semi-structured interviews with 14 cat owners using open-ended questions. Transcripts of these interviews were explored for themes using template analysis and nine themes were identified. Four were animal-centered themes: cat behavior change, pain was a bad sign, signs of ageing are not good, and the benefits of having other people see what owners often could not. Five were human-centered themes: veterinarians understanding owners' relationships with their cat, normalizing death, the need for a good veterinarian to manage end of life, veterinary validation that owners were doing the right thing, and a strong desire to predict the time course and outcome for their cat. End-of-life decision making is complex, and the veterinarian's role is often poorly defined. Our owners appreciated the expertise and validation that their veterinarian provided but continuity of care was important. Future research aimed at exploring the veterinarian's perspective during end-of-life decision making for cats would be a valuable addition to the topic.

摘要

猫是新西兰最常见的伴侣动物。兽医护理的进步意味着猫的寿命更长,老年猫的数量也很多。猫的临终决策因主人与猫的关系以及其他社会心理因素而变得复杂。我们的研究探讨了新西兰老年和慢性病猫的主人做出临终决策的方式以及他们的兽医在这一过程中的作用。通过对14位猫主人进行回顾性半结构化访谈,使用开放式问题收集定性数据。利用模板分析对这些访谈的文字记录进行主题探索,确定了九个主题。四个是以动物为中心的主题:猫的行为变化、疼痛是个不好的迹象、衰老的迹象不好以及让其他人看到主人通常看不到的情况的好处。五个是以人类为中心的主题:兽医理解主人与猫的关系、使死亡正常化、需要一位优秀的兽医来处理临终事宜、兽医确认主人做得正确以及强烈希望预测猫的病程和结果。临终决策很复杂,兽医的角色往往定义不明确。我们的主人赞赏他们的兽医提供的专业知识和确认,但护理的连续性很重要。未来旨在探索兽医在猫临终决策过程中的观点的研究将是该主题的一项有价值的补充。

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本文引用的文献

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Factors Contributing to the Decision to Euthanize: Diagnosis, Clinical Signs, and Triggers.促成安乐死决定的因素:诊断、临床症状及触发因素。
Vet Clin North Am Small Anim Pract. 2020 May;50(3):573-589. doi: 10.1016/j.cvsm.2019.12.007. Epub 2020 Mar 2.
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Euthanasia from the Veterinary Client's Perspective: Psychosocial Contributors to Euthanasia Decision Making .从兽医客户角度看安乐死:安乐死决策的社会心理影响因素
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Geometric morphometrics for the study of facial expressions in non-human animals, using the domestic cat as an exemplar.利用家猫作为范例,进行非人类动物面部表情的几何形态测量学研究。
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Front Vet Sci. 2019 Jun 5;6:147. doi: 10.3389/fvets.2019.00147. eCollection 2019.
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Care as an Alternative to Euthanasia? Reconceptualizing Veterinary Palliative and End-of-life Care.关怀能否替代安乐死?重新认识兽医姑息治疗和临终关怀。
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Application of Fraser's "Practical" Ethic in Veterinary Practice, and Its Compatibility with a "One Welfare" Framework.弗雷泽“实用”伦理在兽医实践中的应用及其与“一体福利”框架的兼容性。
Animals (Basel). 2018 Jul 3;8(7):109. doi: 10.3390/ani8070109.
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Predicting caregiver burden in general veterinary clients: Contribution of companion animal clinical signs and problem behaviors.预测普通兽医客户的照料者负担:伴侣动物临床症状和问题行为的作用。
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