肿瘤科医生对临终患者姑息性镇静治疗态度调查  

A Survey of Oncologists'Attitudes towards Palliative Sedation for End-of-life Patients

作　　者：何路生 杨婷 陈佳增 谭金华 傅静 HE Lu-sheng;YANG Ting;CHEN Jia-zeng(School of Nursing,Southwest Medical University,Luzhou 646000,China)

机构地区：[1]西南医科大学护理学院,四川泸州646000 [2]西南医科大学附属医院心身医学科,四川泸州646000

出　　处：《医学与哲学》2021年第21期31-34,共4页Medicine and Philosophy

基　　金：2020年四川省科学技术厅基金项目(2020YFS0515)。

摘　　要：调查肿瘤科医生对临终患者实施姑息性镇静治疗的态度。通过便利抽样法,对某地区4所三甲医院210名肿瘤科医生进行问卷调查。74.6%的医生倾向使用姑息性镇静,79.6%和73.3%的调查对象曾被患者或家属问及姑息性镇静治疗,68.4%的医生在过去一年中曾开过姑息性镇静治疗处方,苯二氮卓类(41.2%)和巴比妥类(29.6%)被认为是姑息性镇静治疗最常见的处方药。医生工作年限对姑息性镇静治疗实施态度、心理痛苦程度有影响,高年资医生在实施姑息性镇静治疗时其痛苦程度更低、态度更积极。为推进姑息性镇静治疗实践,应加强对姑息治疗医师的培训与指导,以构建积极的治疗态度。To investigate oncologists'attitudes towards palliative sedation for end-of-life patients,210 oncologists from 4 third-grade-A hospitals in a certain area were surveyed by convenience sampling.74.6%of doctors were prone to palliative sedation,79.6%and 73.3%of respondents had been asked about palliative sedation by patients or family members,68.4%of doctors had prescribed palliative sedation in the past year,benzodiazepines(41.2%)and barbiturates(29.6%)were considered to be the most common prescription drugs for palliative sedation.Length of service had significant influence on doctors'attitudes and psychological states.Senior doctors had lower distress and more positive attitudes when performing palliative sedation.In order to promote the practice of palliative sedation,the training and guidance of palliative physicians should be strengthened so as to construct positive attitudes towards palliative sedation.

关 键 词：肿瘤科医生 临终患者 姑息性镇静 

分 类 号：R-05[医药卫生]