Vidal-Trécan G, Fouilladieu J L, Petitgas G, Chassepoux A, Ladegaillerie G, Rieu M
Département de Santé Publique, Université René Descartes, Centre Hospitalo-Universitaire Cochin Port-Royal, Paris, France.
J Palliat Care. 1997 Spring;13(1):40-7.
The views of French physicians and nurses of the organization of palliative care have not been previously analyzed. We surveyed opinion on the care of the terminally ill in a 1,000-bed Paris university hospital. Data were obtained in 1992 by non-directed interviews of leading physicians and semi-directed interviews of nurses. Most physicians wished to managed terminal care in their departments. Patients and family preferences were considered in choosing the place for care. Treatment of hospitalized patients should be limited to relieving symptoms. Department heads and senior nurses agreed on most problems encountered in the management of care. The psychological burden borne by nurses was emphasized. Terminal care training and the possibility of consulting experts in palliative care were the main suggestions for improvement cited by both department heads and senior nurses. Integrating this knowledge into the planning process should result in improved care and in increased satisfaction for the care providers.
法国医生和护士对姑息治疗组织的看法此前尚未得到分析。我们在一家拥有1000张床位的巴黎大学医院调查了对绝症患者护理的意见。1992年通过对主要医生的非定向访谈和对护士的半定向访谈获取数据。大多数医生希望在其科室管理终末期护理。在选择护理地点时会考虑患者和家属的偏好。住院患者的治疗应限于缓解症状。科室主任和高级护士在护理管理中遇到的大多数问题上达成了一致。强调了护士所承受的心理负担。终末期护理培训以及咨询姑息治疗专家的可能性是科室主任和高级护士提出的主要改进建议。将这些知识纳入规划过程应能改善护理并提高护理提供者的满意度。
