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协助死亡和息治疗在澳大利亚的临床实践中交叉吗? 一个案例系列
Julia Corfield1, Hannah Gooiker1, Melanie Benson1
1Palliative Care Service, Peninsula Health, Melbourne, Victoria, Australia.
Journal of palliative care
|September 23, 2025
概括
这项研究发现,6%的息护理患者询问或要求自愿辅助死亡 (VAD). 许多患者与他们的护理团队讨论了VAD,有些人在息治疗部门完成了这个过程.
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:
- 自愿辅助死亡 (VAD) 和息治疗是晚期疾病的不同方法.
- 临床实践中VAD和息护理之间的界面仍未得到充分研究,特别是在澳大利亚维多利亚州VAD法案颁布5年后.
研究的目的:
- 在临床实践中检查自愿辅助死亡 (VAD) 和住院专家息护理 (SPC) 的交叉点.
- 调查患者的询问和VAD在息护理环境中的请求.
主要方法:
- 在2019年6月至2024年6月期间入院于息治疗单位 (PCU) 的患者的回顾性病例系列分析.
- 纳入标准:在任何时候询问或请求VAD的患者.
主要成果:
- 6%的PCU招生涉及VAD查询或请求; 2%在招生期间提出了VAD.
- 在各种环境中向息护理专业人员提出了请求;44%的请求没有超过最初的请求.
- 四名患者服用了VAD物质,并在PCU中死亡;关于VAD的讨论经常发生.
结论:
- 专业息护理 (SPC) 和自愿辅助死亡 (VAD) 之间存在着重要的交叉点.
- 患者与息护理团队就VAD询问,讨论和完成过程进行接触.
- 调查结果强调需要讨论对SPC实践和政策的影响.
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