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护士对主动自愿安乐死的特征及态度:澳大利亚首都地区的一项调查

Nurse characteristics and attitudes to active voluntary euthanasia: a survey in the Australian Capital Territory.

作者信息

Kitchener B A

机构信息

School of Nursing, University of Canberra, ACT, Australia.

出版信息

J Adv Nurs. 1998 Jul;28(1):70-6. doi: 10.1046/j.1365-2648.1998.00775.x.

DOI:10.1046/j.1365-2648.1998.00775.x
PMID:9687132
Abstract

While surveys of Australian nurses' attitudes to active voluntary euthanasia (AVE) have found that the majority are in favour, there may be important differences between subgroups of nurses. This paper investigates the role of the following nurse characteristics on nurses' attitudes to AVE: age, gender, religion, amount of contact with terminally ill patients, area of specialty, and degree of interest taken in the issue of AVE. A postal survey on AVE was carried out in late 1996 of 2000 randomly selected registered nurses from the Australian Capital Territory. Responses were received from 1218 nurses (61%). The survey included a question asking whether the law should be changed to allow doctors to take active steps to bring about a patient's death under some circumstances. Overall, 69% of respondents agreed that the law should be changed. Those nurses who were more likely to agree were under the age of 40 years, agnostic, atheist or of the Anglican religion, to have less contact with terminally ill patients, to work in the area of critical care or mental health, and to take less interest in the issue of AVE. Palliative care nurses were the only subgroup without a majority in favour (33%). There is other evidence in the euthanasia literature, that nurses and doctors are less in favour of AVE than the general public. Taken together with the present findings, it can be concluded that attitudes towards AVE are more favourable in people who have less contact with the terminally ill.

摘要

虽然对澳大利亚护士对主动自愿安乐死(AVE)态度的调查发现,大多数人持赞成态度,但护士亚群体之间可能存在重要差异。本文调查了以下护士特征对护士对AVE态度的影响:年龄、性别、宗教信仰、与绝症患者的接触量、专业领域以及对AVE问题的关注程度。1996年末,对澳大利亚首都地区随机抽取的2000名注册护士进行了关于AVE的邮政调查。共收到1218名护士的回复(回复率61%)。调查包括一个问题,询问法律是否应修改,以便医生在某些情况下采取积极措施促成患者死亡。总体而言,69%的受访者同意应修改法律。更有可能同意的护士年龄在40岁以下,不可知论者、无神论者或英国国教教徒,与绝症患者接触较少,从事重症监护或心理健康领域工作,且对AVE问题关注较少。姑息治疗护士是唯一多数不赞成的亚群体(33%)。安乐死文献中的其他证据表明,护士和医生比普通公众更不赞成AVE。结合目前的研究结果,可以得出结论,与绝症患者接触较少的人对AVE的态度更倾向于赞成。

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