内科医生知道什么是治疗努力的限制吗？
Do internists know what limitation of therapeutic effort means?
机构信息
Grupo de Trabajo de Bioética, Sociedad Española de Medicina Interna, Spain; Servicio de Medicina Interna, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, Spain; Instituto de Ética Clínica Francisco Vallés, Universidad Europea, Madrid, Spain.
Grupo de Trabajo de Bioética, Sociedad Española de Medicina Interna, Spain; Instituto de Ética Clínica Francisco Vallés, Universidad Europea, Madrid, Spain; Servicio de Medicina Interna, Hospital Universitario de La Princesa, Madrid, Spain.
出版信息
Rev Clin Esp (Barc). 2021 May;221(5):274-278. doi: 10.1016/j.rceng.2020.01.007. Epub 2021 Mar 13.
OBJECTIVES
To ascertain whether internists know what limitation of therapeutic effort (LTE) means and whether training in palliative care affects this understanding.
METHODS
A survey was administered to Spanish internists on their knowledge of LTE and training in palliative care.
RESULTS
A total of 273 respondents completed the survey (mean age, 42±12 years), 80.2% of whom were associates. Some 23.8% of the respondents identified the complete definition of LTE. The most frequently selected responses were "not starting an active treatment" (85.0%) and "withdrawing an active treatment" (65.9%). Forty-three percent of the respondents lacked training in palliative care, 73.3% considered their level of understanding to be good or very good, 62.3% stated that they became anxious when addressing planning for end-of-life care with a patient, and 81.3% stated that they had experienced some conflict with their LTE decisions.
CONCLUSIONS
Only 1 of every 4 internists knew the proper definition of LTE, with no association with the level of training in palliative care.
目的
确定内科医生是否了解治疗努力的限制（LTE）的含义，以及姑息治疗培训是否会影响他们对此的理解。
方法
对西班牙内科医生进行了一项关于 LTE 知识和姑息治疗培训的调查。
结果
共有 273 名受访者完成了调查（平均年龄 42±12 岁），其中 80.2%为副教授。约 23.8%的受访者能正确识别 LTE 的完整定义。最常被选择的答案是“不开始积极治疗”（85.0%）和“停止积极治疗”（65.9%）。43%的受访者没有接受过姑息治疗培训，73.3%的人认为自己对 LTE 的理解程度良好或非常好，62.3%的人表示在与患者讨论临终关怀计划时会感到焦虑，81.3%的人表示在 LTE 决策方面遇到过一些冲突。
结论
只有 1/4 的内科医生知道 LTE 的正确定义，且这与姑息治疗培训水平无关。
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