愿意在绝症患者中生活
H M Chochinov1, D Tataryn, J J Clinch
1Department of Psychiatry, University of Manitoba, Winnipeg, Canada. chochin@cc.umanitoba.ca
Lancet (London, England)
|September 15, 1999
概括
临终患者的生活愿望发生显著波动,受到抑郁和焦虑等因素的影响. 这些影响随着死亡的临近而改变,影响终身护理决策.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 心理社会瘤学
- 生命终端研究研究.
背景情况:
- 安乐死和协助自杀涉及复杂的生物医学和心理社会因素.
- 患者的生存意志是终身护理的关键,但尚未研究的方面.
研究的目的:
- 为了研究一个临终患者生命意愿的波动.
- 为了确定影响这些波动的因素随着时间的推移.
主要方法:
- 使用视觉模拟尺度,评估每天两次在息护理中的癌症患者的生存意志.
- 将尺度纳入埃德蒙顿症状评估系统.
- 在各种时间间隔内计算的生存评级的最大和中位数波动.
主要成果:
- 虽然生存意志得分的中位数保持稳定,但最大波动很大 (例如,30天内68.0毫米).
- 抑郁症,焦虑,呼吸短促和幸福感是生活愿望的关键预测因素.
- 这些预测因素的影响随着死亡的临近而变化.
结论:
- 临终患者在生存的意愿中表现出显著的变化.
- 生命意志变化的决定因素在死亡过程中演变.
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