城市居民对维持生命的治疗或人工营养和水分的偏好事先做出决定
Yi-Ling Wu1, Tsai-Wen Lin2, Chun-Yi Yang3,4
1Master's Program of Transition and Leisure Education for Individuals With Disabilities, University of Taipei, Taipei, Taiwan.
BMC medical ethics
|May 18, 2024
概括
台湾 台湾 台湾 台湾
科学领域:
- 医学伦理 医学伦理
- 公共卫生政策 公共卫生政策
- 终身护理研究 终身护理研究
背景情况:
- 台湾的患者自主权法 (PRAA) (2019年) 通过事先护理规划 (ACP) 促进了提前决策 (AD).
- 这项立法允许在危急条件下暂停/取消维持生命治疗 (LST) 和人工营养/水分 (ANH).
- 了解公众对LST/ANH的偏好对于有效实施至关重要.
研究的目的:
- 调查城市台湾居民在各种临床场景中对LST或ANH的偏好.
- 确定这些偏好的变化和影响社会人口统计学因素.
主要方法:
- 在台北市医院对法律结构化的AD文件和便利采样进行了调查.
- 分析AD和ACP咨询记录,包括性别,年龄和临床数据.
- 从电子记录中提取了2337名参与者的数据.
主要成果:
- 愿意拒绝LST和ANH的高度一致性,对于绝症和严重痴呆症的变化.
- 人工营养和补水 (ANH) 经常被认为是时间有限的治疗.
- 女性对LST/ANH的拒绝率更高;男性更喜欢接受. 年轻的参与者更愿意接受治疗和任命医疗保健代理人 (HCA).
结论:
- 对LST/ANH的终生偏好受临床状态,性别,年龄和文化因素的理解的影响.
- 观察到对AD的细微偏好和社会人口学影响.
- 建议进一步研究不断变化的偏好和医疗保健专业人士的观点.
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