葡萄牙提前指令 - - 对徒劳的扭曲? 一个横截面研究研究
Catarina Sampaio Martins1, Rui Nunes2
1MD, MSc. Physician, Serviço de Medicina Paliativa do Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, Portugal; PhD student, Faculdade de Medicina, Universidade do Porto, Porto, Portugal.
Sao Paulo medical journal = Revista paulista de medicina
|March 27, 2024
概括
患者和护理人员经常误解预先指示,忽视治疗徒劳的概念,并期待侵入性治疗. 澄清无用概念和修订文档语言对于更好的终身护理沟通至关重要.
科学领域:
- 医学伦理 医学伦理
- 抚慰性护理是一种缓解性护理.
- 卫生沟通健康沟通
背景情况:
- 预先指示使个人能够指定终身护理偏好.
- 当前的预先指令文件没有充分解决治疗徒劳的概念.
研究的目的:
- 分析患者和护理人员对预先指示的反应.
- 了解有关终身治疗决策的期望.
主要方法:
- 对先前发表的关于预先指令有效性的试验数据的分析.
- 60名息患者和60名护理人员完成了预先指令文件,并表达了对治疗的期望.
主要成果:
- 很大一部分患者和护理人员希望进行诸如心肺复苏和人工器官支持之类的侵入性治疗.
- 参与者表现出对治疗的徒劳性缺乏理解,期望治疗无论其有效性如何.
- 误解预先指令文件可能会导致潜在的法律冲突.
结论:
- 在完成预先指示之前,必须向患者和护理人员明确解释治疗徒劳的概念.
- 从"接受/不接受"到"接受/拒绝"的提前指令语言的修订可以防止对徒劳的治疗的要求.
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