Fernández-Férez Alba, Berthe-Kone Ousmane, Granero-Heredia Gonzalo, Correa-Casado Matías, Jiménez-Lasserrotte María Del Mar, Martínez-Bordajandi Álvaro, Granero-Molina José
International Doctoral School, University of Almeria, 04120 Almeria, Spain.
Servicio Andaluz de Salud, 04005 Almeria, Spain.
Healthcare (Basel). 2024 Dec 22;12(24):2581. doi: 10.3390/healthcare12242581.
Dignity is a key element in end-of-life care. Patients with advanced illness attend the emergency department to seek symptom relief but may find their dignity under threat in these services.
The purpose of the study was to explore the threats to dignity perceived by people with advanced illnesses who are treated in emergency departments.
A descriptive qualitative study was designed for which 18 patients with advanced illnesses were interviewed after being seen in an emergency department. The study complied with the principles of the Declaration of Helsinki for medical research involving human subjects.
Two themes were developed from the data analysis that shed light on how patients with advanced illnesses perceive threats to their dignity when seen in emergency departments: (1) "when care focused on diagnosis and treatment limits the dignity of the patient with advanced illness" and (2) "the social dimension of dignity in people with advanced illness in emergency departments".
We conclude that the structural, organizational, and care characteristics of emergency departments may pose a threat to the dignity of people with advanced illnesses who attend the emergency department. Family members, professionals, and other patients can both guarantee and threaten the dignity of people with advanced illnesses when they are treated in emergency departments.
尊严是临终关怀的关键要素。晚期疾病患者前往急诊科寻求症状缓解，但可能会发现在这些服务中他们的尊严受到威胁。
本研究的目的是探讨在急诊科接受治疗的晚期疾病患者所感受到的尊严威胁。
设计了一项描述性定性研究，对18名在急诊科就诊后的晚期疾病患者进行了访谈。该研究遵循了涉及人类受试者的医学研究《赫尔辛基宣言》的原则。
数据分析得出了两个主题，揭示了晚期疾病患者在急诊科就诊时如何感知其尊严受到的威胁：（1）“当以诊断和治疗为重点的护理限制了晚期疾病患者的尊严”以及（2）“急诊科中晚期疾病患者尊严的社会层面”。
我们得出结论，急诊科的结构、组织和护理特点可能会对前往急诊科就诊的晚期疾病患者的尊严构成威胁。当晚期疾病患者在急诊科接受治疗时，家庭成员、专业人员和其他患者既可以保障也可能威胁到他们的尊严。
