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小动物临床中的临终情况处理:兽医在决策过程中会考虑哪些策略?

Handling End-of-Life Situations in Small Animal Practice: What Strategies do Veterinarians Contemplate During their Decision-Making Process?

作者信息

Deelen E, Meijboom F L B, Tobias T J, Koster F, Hesselink J W, Rodenburg T B

机构信息

Centre for Sustainable Animal Stewardship, Division of Animals in Science and Society, Department of Population Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands.

Division of Farm Animal Health, Department of Population Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands.

出版信息

J Appl Anim Welf Sci. 2025 Jul-Sep;28(3):357-370. doi: 10.1080/10888705.2023.2268516. Epub 2023 Oct 11.

Abstract

This study researched end-of-life (EoL) decision-making processes in small animal practices in the Netherlands, focusing on strategies veterinarians contemplate during this process. Fourteen veterinarians were interviewed about animal end-of-life decision-making. The results of these interviews show that the decision-making process consists of three steps. The first step is to . During the second step, veterinarians consider . Based on steps 1 and 2, veterinarians decide in step 3 whether their advice is to a) or b) to come to a decision or potentially alter the decision. These results can support members of the veterinary profession to reflect on their decision-making process. If veterinarians know what strategies their peers use to deal with EoL situations, this can help to reduce the stress they experience in such situations. In addition, veterinarians may find inspiration for new strategies in the study results. For the veterinary profession itself, the current results can be used as a starting point for describing best practices for EoL decision-making in small animal practice.

摘要

本研究对荷兰小动物诊疗机构中的临终(EoL)决策过程进行了调研,重点关注兽医在这一过程中所考虑的策略。对14名兽医进行了关于动物临终决策的访谈。这些访谈结果表明,决策过程包括三个步骤。第一步是……在第二步中,兽医会考虑……基于步骤1和2,兽医在第三步中决定他们的建议是a)……还是b)……以做出决策或可能改变决策。这些结果可以支持兽医行业的成员反思他们的决策过程。如果兽医了解同行处理临终情况所采用的策略,这有助于减轻他们在这类情况下所经历的压力。此外,兽医可能会从研究结果中获得新策略的灵感。对于兽医行业本身而言,当前的结果可作为描述小动物诊疗中临终决策最佳实践的起点。

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