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影响主治医生临终决策的因素。

Factors that Influence End-Of-Life Decision Making Amongst Attending Physicians.

机构信息

Department of Surgery, 12286Rutgers New Jersey Medical School, Newark, NJ, USA.

Biostatistics and Epidemiology Services, 67206Rutgers University Newark, Newark, NJ, USA.

出版信息

Am J Hosp Palliat Care. 2022 Oct;39(10):1174-1181. doi: 10.1177/10499091211063803. Epub 2021 Dec 28.

Abstract

: Medical advances prolong life and treat illness but many patients have chronically debilitating conditions that prevent them from making end-of-life (EOL) decisions for themselves. These situations are difficult to navigate for both patient and physician. This study investigates physicians' feelings and approach toward EOL care, physician-assisted suicide (PAS), and euthanasia. : An anonymous, self-administered online survey was distributed through the New Jersey Medical School servers and American College of Surgeons forums. The survey presented clinical EOL vignettes and subjective questions regarding PAS and euthanasia. : We obtained 142 responses from attending physicians. Respondents were typically male (61%), married (85%), identified as Christian (54%), had more than 20 years of experience (55%), and worked at a university hospital (57%). Religious beliefs and years of work experience seemed to be significant contributors in EOL decision making, whereas gender and medical specialty were not significantly influential. : Factors such as years of work experience and religious belief may influence medical professionals' opinions about PAS and euthanasia and their subsequent actions regarding EOL care. In many cases, the boundaries are blurred and require further study before concrete conclusions can be made.

摘要

医疗进步延长了生命并治疗了疾病,但许多患者患有慢性衰弱性疾病,使他们无法为自己做出生命末期(EOL)的决定。这些情况对患者和医生来说都很难应对。本研究调查了医生对 EOL 护理、医师协助自杀(PAS)和安乐死的感受和方法。

通过新泽西医学院服务器和美国外科医师学院论坛分发了匿名的、自我管理的在线调查。该调查提出了临床 EOL 情况介绍和关于 PAS 和安乐死的主观问题。

我们从主治医生那里获得了 142 份回复。受访者通常为男性(61%)、已婚(85%)、自认为是基督徒(54%)、有超过 20 年的经验(55%),并在大学医院工作(57%)。宗教信仰和工作经验年限似乎是 EOL 决策的重要因素,而性别和医学专业则没有明显影响。

工作经验年限和宗教信仰等因素可能会影响医疗专业人员对 PAS 和安乐死的看法及其对 EOL 护理的后续行动。在许多情况下,界限模糊,需要进一步研究才能得出具体结论。

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