法国重症监护病房护理人员在首次COVID-19爆发期间遇到的伦理问题
Corentin Therond1, Bérengère Saliba-Serre2, Pierre Le Coz2
1(UMR) Unité mixte de recherche 7268 ADES (Anthropologie bioculturelle, Droit, Ethique et Santé), CNRS (Centre Nationale de Recherche Scientifique), EFS (Etablissement Français du Sang), Aix-Marseille University, Marseille, France. corentintherond@gmail.com.
Canadian journal of anaesthesia = Journal canadien d'anesthesie
|September 25, 2023
概括
法国重症监护室 (ICU) 的80%的医护人员在COVID-19爆发期间面临道德问题. 关键问题包括家庭访问限制和污染风险,强调需要更好的伦理培训.
科学领域:
- 医学伦理 医学伦理
- 传染病流行病学 传染病流行病学
- 关键护理医学 关键护理医学
背景情况:
- 第一次COVID-19疫情给全球医疗保健系统带来了前所未有的挑战.
- 重症监护室 (ICU) 处于最前沿,管理重症患者,面临独特的伦理困境.
研究的目的:
- 识别和描述在最初的COVID-19爆发期间,法国ICU中的医疗保健工作者遇到的伦理问题.
- 确定与这些道德问题的出现相关的因素.
主要方法:
- 在26个法国ICU进行了一项描述性的多中心调查研究.
- 2020年6月1日至10月1日期间,向在ICU工作的医生,住院医生,护士和护士分发了问卷.
- 多种物流回归模型被用来分析与伦理问题相关的因素.
主要成果:
- 参与率达到了25.4%,有1,188个回复.
- 80.2%的参与者报告经历了伦理问题,最常见的是与受限的家庭访问 (91.7%) 和污染风险 (72.3%) 相关.
- 与医生相比,护士和护理人员报告的感染风险和违反患者指令的行为率更高.
结论:
- 在首次COVID-19爆发期间,法国绝大多数ICU医疗保健工作者面临着道德挑战.
- 了解这些问题对于制定未来卫生危机期间管理这些问题的策略至关重要.
- 在受访者中,有一个强烈的共识 (86.9%),即改善医疗保健教育中的伦理培训.
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