医生对高级痴呆症肺炎的抗生素治疗的看法和知识
Itai Harpaz1,2, Boris Punchik3,4,5, Tamar Freud3,6
1Joyce & Irving Goldman Medical School, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
医生经常选择对痴呆症患者进行积极的抗生素治疗,但更喜欢为自己提供息治疗. 需要进行教育干预,以使终身护理决策与患者福祉保持一致.
科学领域:
- 老年医学 老年医学
- 抚慰性护理是一种缓解性护理.
- 医学伦理 医学伦理
背景情况:
- 晚期痴呆症患者肺炎的抗生素治疗 (AT) 存在道德挑战.
- 它可以延长生命,但也可能延长患者和家人的痛苦.
研究的目的:
- 评估医生对晚期痴呆和肺炎患者抗生素治疗的态度.
- 为了比较医生对患者的治疗选择与他们自己.
主要方法:
- 在以色列南部的211名社区和医院医生中进行了基于图片的调查.
- 医生填写了关于假设患者对AT的知识和态度的问卷.
主要成果:
- 大多数医生 (177/211) 选择为患者提供AT.
- 医生更有可能为自己而不是为患者选择息治疗.
- 超过75%的医生缺乏根据"临终病人法"对AT的管理的知识.
结论:
- 教育干预对于提高医生对痴呆症患者终身护理专业知识至关重要.
- 需要进行政策讨论,以潜在地修改法律,促进研究以证据为基础的高级痴呆症治疗策略.
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