在非法情况下要求安乐死或协助自杀:关于法国息治疗单位住院患者亲属经验的定性研究
Camille De Cock1, Florence Mathieu-Nicot2,3,4,5, Hélène Trimaille2,6
1Clinical Investigation Center of Besançon (INSERM U1431), University Hospital of Besançon, 2 Place Saint-Jacques, 25000, Besançon, France.
Palliative care and social practice
|December 30, 2024
概括
亲属通常理解临终期患者对安乐死或协助自杀的要求. 然而,讨论这些请求会导致严重的痛苦,需要公开的沟通和医疗保健专业人员的支持.
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.
- 卫生社会学 卫生社会学
背景情况:
- 在法国,安乐死和协助自杀是非法的.
- 人们对患者要求安乐死/协助自杀在这种情况下对亲属的影响知之甚少.
研究的目的:
- 探索那些要求安乐死或协助自杀的绝症患者亲属的经历.
- 了解在严格的法律环境中对家庭的情感和心理影响.
主要方法:
- 使用接地理论原则进行定性研究.
- 与法国息治疗单位 (PCU) 患者的亲属进行半结构面试.
- 采访在两个时间点进行:在48小时内和最初请求后的一周内.
主要成果:
- 采访了五个家庭的八个亲属,进行了十次采访.
- 亲属通常理解患者的要求.
- 关键主题包括生命末期的条件,对和平死亡的愿望,支持水平,基本价值观和遇到的障碍.
结论:
- 讨论安乐死/协助自杀的请求是情感上的负担,并给亲属带来了巨大的痛苦.
- 医疗保健专业人员应该识别并解决这种痛苦.
- 患者,亲属和医疗保健提供者之间的公开对话对于主动支持至关重要.
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