Vogel B
Kantonsspital Luzern.
Schweiz Rundsch Med Prax. 1993 Jul 20;82(29-30):788-91.
Many caregivers still believe that the use of intravenous infusions or nasogastric tubes should be an automatic response to dehydration in patients who are close to death. The decision for doing so is more influenced by emotional factors than by a clear review of the problems and advantages artificial fluid therapy can cause in the individual. However dehydration can be advantageous for the dying by alleviating certain symptoms. The main problem--a dry mouth--can be treated by often and regular mouth-care, eventually done by the relatives of the patient. There can be an exchange of roles: By caring for "their" patient the relatives become more responsible for him and health-care professionals are acting more in the background supporting them.
许多护理人员仍然认为，对于濒死患者，静脉输液或鼻饲管的使用应该是应对脱水的常规措施。做出这样的决定更多地受到情感因素的影响，而不是对人工补液疗法在个体中可能引发的问题及益处进行清晰的评估。然而，脱水对于临终患者可能有益，因为它能缓解某些症状。主要问题——口干——可以通过频繁且规律的口腔护理来解决，最终这一工作可由患者家属完成。角色可能会发生转变：通过照顾“他们的”患者，家属对患者的责任感更强，而医护人员则更多地在幕后提供支持。
