心理存在性痛苦的终身镇静的愿望和实践之间的感知差距
Sayaka Maeda1, Tatsuya Morita2, Kengo Imai3
1Department of Palliative Medicine, Kyoto University Hospital, Kyoto, Japan.
Journal of pain and symptom management
|August 24, 2025
概括
许多癌症患者希望持续深度镇静 (CDS) 治疗存在的痛苦, 但很少给予. 这突显了临终关怀的缺陷,
科学领域:
- 缓和护理
- 癌症学
- 医学伦理
背景情况:
- 持续深度镇静 (CDS) 是一种有争议的临终治疗方法.
- 在这种情况下,患者对CDS的使用和愿望仍然不太清楚.
研究的目的:
- 确定日本息护理中需要CDS治疗的癌症患者的患病率.
- 调查患者的病情,痛苦,以及对CDS的渴望时的干预.
主要方法:
- 在日本认证的住院和息治疗单位 (PCU) 进行全国性问卷调查.
- 收集的CDS管理数据,患者对CDS的愿望,以及患者的状态.
主要成果:
- 0.2%的已故患者因心理存在性痛苦而接受CDS; 2%表示希望接受CDS.
- 四分之三的PCU报告说患者渴望CDS,这通常与存在的痛苦和早期死亡的愿望有关.
- 只有四分之一的PCU为此表示使用了CDS.
结论:
- 患者对CDS的渴望与对心理存在性痛苦的临床实施之间存在显著的差异.
- 在解决复杂的患者需求和指导伦理决策方面面临挑战.
- 需要进一步的研究和临床指导方针来弥合生存困境的终身护理差距.
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