自愿协助死亡是否会影响息治疗的质量? 一个回顾性的混合方法研究研究
Natasha Michael1,2, David Jones3,4, Lucy Kernick2
1Monash University Faculty of Medicine Nursing and Health Sciences, Melbourne, VIC, Australia natasha.michael@nd.edu.au.
BMJ supportive & palliative care
|June 13, 2024
概括
在澳大利亚探索自愿辅助死亡 (VAD) 揭示了其与息治疗质量的复杂关系. 开放的沟通是提高患者护理和在这个过程中为护理人员和工作人员提供支持的关键.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在生命末期的护理.
- 医学伦理 医学伦理
背景情况:
- 自愿协助死亡 (VAD) 立法正在澳大利亚各州扩大.
- 整合VAD服务为息护理提供带来了新的挑战.
- 了解VAD追求和息护理质量之间的相互作用至关重要.
研究的目的:
- 调查寻求自愿辅助死亡 (VAD) 与所获得的息治疗质量之间的关系.
- 分析VAD调查如何影响患者护理的各个领域.
- 确定影响患者在VAD和息治疗之间选择的因素.
主要方法:
- 追溯的融合混合方法设计.
- 在两年内分析了141名对VAD表达兴趣的患者的记录.
- 患者数据与护理质量领域的相关性.
主要成果:
- 寻求VAD的患者经常将自主权,痛苦和对未来痛苦的恐惧列为主要原因.
- VAD调查影响了全人护理,家庭护理和息护理团队.
- 开放的沟通对治疗坚持和及时获得息护理产生了积极的影响.
- 隐信息对患者关系产生了负面影响.
结论:
- 息治疗必须适应支持追求VAD的患者.
- 需要进一步的研究,以确保增强VAD患者的息护理质量.
- 支持护理人员和医疗保健工作人员陪同患者通过VAD是必不可少的.
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