"善死"的概念化及其与技术的关系:一个范围审查和话语分析
Michal Coret1, Maria Athina Tina Martimianakis2
1Department of Medicine, Temerty Faculty of Medicine University of Toronto Toronto Ontario Canada.
Health science reports
|July 17, 2023
概括
患者的自主权和控制权是"良好的死亡"概念的核心,在终身护理讨论中,技术往往被视为负面的. 这项研究考察了对良好的死亡和技术的不断变化的看法.
科学领域:
- 医学伦理 医学伦理
- 卫生社会学 卫生社会学
- 终身护理研究 终身护理研究
背景情况:
- "良好的死亡"的概念随着临终关怀运动和息护理作为医学专业的建立而发展.
- 20世纪60年代医疗技术的进步影响了死亡的控制和医疗化.
- 息护理在1987年正式成为医学专业,塑造了终身护理话语.
研究的目的:
- 分析自1987年以来围绕"良好的死亡"概念的讨论.
- 研究医疗技术对生命终结体验的感知影响.
- 了解患者的自主权和控制权是如何与死亡有关的.
主要方法:
- 系统地在文献中搜索以下术语:"好死"",技术"和"息治疗".
- 分析了1987年至2020年间发表的190个英语来源.
- 对话题和人口统计数据进行主题分析.
主要成果:
- 患者控制是定义"良好的死亡"的主导话语.
- 其他关键主题包括和平,安慰,友和避免长期痛苦.
- 在生命终点环境中,关于医疗技术的讨论主要是负面的.
结论:
- 文献揭示了对死亡医疗化的重大批评,与患者自主权保持一致.
- 关于"好死"和技术的论述超越了医疗保健环境.
- 精神和中立性在当前的"好死"话语中明显缺席,这突出了老年和息护理伦理和沟通的相关性.
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