复活已故患者的治疗史:一个研究设计,应该休息
Peter B Bach1, Deborah Schrag, Colin B Begg
1The Health Outcomes Research Group, the Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA. bachp@mskcc.org
JAMA
|December 9, 2004
概括
对死者进行的研究,即对死亡前的护理进行检查,可能不准确地代表了对垂死患者的护理. 患者选择和时间框架的差异引入了显著的偏见,导致对终身护理质量的潜在无效结论.
科学领域:
- 息护理研究 息护理研究
- 医疗保健服务研究 医疗服务研究
- 在瘤学瘤学.
背景情况:
- 对死者的研究分析了死亡前的护理.
- 对垂死患者的研究主要集中在终端状态被认可后的护理.
- 现有的研究方法可能不能准确地反映生命末期的护理.
研究的目的:
- 评估"死者研究"在描绘对垂死患者的护理时的准确性.
- 在这些研究类型中,通过不同的主体识别和时间段来识别这些研究类型中引入的偏见.
- 评估死者研究中关于终身护理的结论的有效性.
主要方法:
- 对"死者的研究"与临终患者的研究进行比较分析.
- 检查科目选择标准和时间检查周期.
- 使用基于人口的癌症患者队列作为说明性例子.
主要成果:
- 在研究死者的研究中,受试者选择的差异引入了显著的偏见.
- 分析所选择的时间段对研究的解释有很大影响.
- 这两种因素都导致对临终病人护理的描述可能不准确.
结论:
- 对死者的研究可以得出关于临终患者护理质量的无效结论.
- 主题选择和时间框架的方法差异是关键的限制.
- 重新思考研究生命终端护理的方法是必要的.
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