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家庭医生在机械通风撤回中的决策:一个横截面研究
Tunwarat Pankaew1, Ruankwan Kanhasing2, Wadee Wongpradit3
1Department of Social Medicine, Medical Education Center Buddhasothorn Hospital, Chachoengsao, Thailand.
Indian journal of palliative care
|December 4, 2025
概括
泰国家庭医生 泰国家庭医生
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医学伦理 医学伦理
- 生命终端决策 - - 生命终端决策
背景情况:
- 泰国的家庭医生是息治疗的组成部分,包括取消机械通风 (WMV).
- 对于WMV的决策过程在实践者之间可能会有很大的差异.
- 了解这些因素对于改善终身护理至关重要.
研究的目的:
- 确定影响泰国家庭医生关于WMV对绝症患者的决定的关键因素.
- 探索家庭,医生经验和患者愿望在这些关键决策中的作用.
主要方法:
- 从2021年12月到2022年1月,在泰国的164名家庭医生进行了在线调查.
- 使用了一个定制的问卷,其内容和可靠性经过验证 (Cronbach的alpha 0.81-0.88).
- 统计分析,包括赔率比率,用于确定影响因素.
主要成果:
- 123名 (75%) 医生之前有WMV决策经验.
- 关键因素包括家庭/代孕者参与决策者,医生经验和患者反对通风.
- 具有>3年的息护理经验 (OR=5.30) 和正式培训 (OR=8.97) 的医生更有可能停止通风.
结论:
- 泰国家庭医生的WMV决策受到家庭投入,医生经验和患者偏好的重大影响.
- 息治疗方面的经验和正式培训与撤销机械通风的决定有很强的相关性.
- 在这些从业者中,关于WMV的道德适当性存在共识.
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