在死亡过程中家庭成员的问题和ICU护士经历的道德痛苦
Hao H Tong1, Claire J Creutzfeldt2, Katherine G Hicks3
1University of Pennsylvania, Division of Pulmonary, Allergy and Critical Care (H.H.T.), Philadelphia, Pennsylvania, USA.
Journal of pain and symptom management
|February 11, 2024
概括
重症监护室 (ICU) 的护士在仅提供安慰措施 (CMO) 时经常经历道德困扰. 回答家庭问题的准备程度提高可能有助于减少这种痛苦,尽管护士更愿意参与过渡讨论.
科学领域:
- 护理 护理 护理
- 抚慰性护理是一种缓解性护理.
- 重症监护室的重症监护室的重症监护室.
背景情况:
- 仅过渡到安慰措施 (CMO) 涉及停止延长生命的治疗,以允许自然死亡.
- 护士在照顾接受CMO的患者及其家属方面至关重要.
研究的目的:
- 调查重症监护室 (ICU) 护士在CMO下照顾患者的经验.
- 评估护士在CMO提供期间的道德困境及其预测因素.
主要方法:
- 神经和心脏病重症监护室的护士完成了关于CMO经验的调查,从2020年10月到2021年6月.
- 调查涵盖了参与CMO讨论,家庭问题和道德困境.
- 普通后勤回归分析了道德困境的预测因素.
主要成果:
- 82名护士 (44%的响应率) 报告了CMO经验;96%在过去一年中提供了CMO.
- 大多数护士 (89%) 宁愿出席CMO过渡讨论,但只有31%是.
- 常见的家庭问题涉及预后,症状和药物. 62%的护士报告道德困扰;准备工作减少了困扰.
结论:
- 在CMO过渡讨论中,护士希望和实际参与之间存在差距.
- 在提供CMO的护士中,道德困扰很普遍.
- 准备好解决家庭问题可能会减轻护士的道德困境.
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