Sahler O J, McAnarney E R, Friedman S B
Pediatrics. 1981 Feb;67(2):207-16.
Events and feelings immediately surrounding the deaths of children in the hospital were investigated in order to identify factors that might influence a house officer's ability to relate in a personally satisfying way to dying children and their parents. Open-ended interviews with the involved interns and their supervising residents were conducted within 36 hours of the deaths of 31 hospitalized children to gain insight into the reactions and responses of new physicians managing terminally ill patients. Interns' relationships with children who were fatally ill appeared to be influenced by two factors: the child's age and the child's neurologic status. The interns' relationships with parents reflected their attitudes toward the children but were also affected by the duration of the illness, especially in instances when the patients were comatose or severely impaired. Senior medical staff awareness of the age and responsiveness of dying patients and the duration of their illness can help to provide case-specific guidance and support to the interns. Such support may help prevent that excessive distancing or over involvement that can impair the interns' abilities to provide optimal emotional support to patients, the families, or themselves.
对医院里儿童死亡前后即刻发生的事件及感受进行了调查，以确定可能影响住院医生以个人满意的方式与濒死儿童及其父母建立关系能力的因素。在31名住院儿童死亡后的36小时内，对相关实习医生及其指导住院医师进行了开放式访谈，以深入了解管理绝症患者的新医生的反应和应对方式。实习医生与绝症儿童的关系似乎受到两个因素的影响：儿童的年龄和神经学状态。实习医生与父母的关系反映了他们对孩子的态度，但也受到疾病持续时间的影响，特别是在患者昏迷或严重受损的情况下。高级医务人员对濒死患者的年龄、反应能力及其疾病持续时间的了解，有助于为实习医生提供针对具体病例的指导和支持。这种支持可能有助于防止过度疏离或过度介入，而这可能会削弱实习医生为患者、家属或他们自己提供最佳情感支持的能力。
