Physicians' Knowledge, Attitude and Practice toward Ethical and Medical Issues of Palliative Care in Suez Canal University Hospital.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-10-01 Epub Date: 2022-09-21 DOI:10.25259/IJPC_65_2021

Mona M Awny, Shimaa A Al-Touny, Samar E M Gaafar

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引用次数: 0

Abstract

Objectives: Palliative care (PC) includes a varied range of medical and ethical aspects that should be considered. The role of physicians in PC is crucial so this work explores physicians' knowledge, attitude and practice toward PC in Suez Canal University hospital in Egypt.

Material and methods: A questionnaire survey investigating physician's knowledge, attitude and practice in PC in 30 questions besides their personal and professional data.

Results: Nearly 31% of participants received education in PC. Only 5.5% realised that PC should be introduced to patients at all health-care levels. Most participants (70.9%) were not aware about the WHO three-step analgesic ladder. About 57.7% and 43.6% of participants preferred informing terminal patients about their diagnosis and prognosis, respectively. More than half of participants (58.6%) agreed that the medical intervention decision is the patient's right and 63.2% agreed that do not resuscitate choice is the patient or his family right if he is incompetent. Participants who do not have advance care plans discussions with their terminal patients represented 53.6%.

Conclusion: This study indicated lack of knowledge and insufficient professionalism during management of terminal patients regarding some medical and ethical issues of PC. Formal education and training are urgently needed to improve the holistic vision and practice of PC in Egypt.

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苏伊士运河大学医院医师对姑息治疗伦理与医学问题的认识、态度与实践

目的:姑息治疗(PC)包括应考虑的各种医学和伦理方面。医生在PC中的作用是至关重要的，因此本研究探讨了埃及苏伊士运河大学医院医生对PC的知识、态度和实践。材料与方法:采用问卷调查法，除个人资料和专业资料外，对医师在PC方面的知识、态度和行为进行30个问题的调查。结果:近31%的参与者接受过PC教育。只有5.5%的人意识到应该在各级卫生保健机构向患者介绍个人电脑。大多数参与者(70.9%)不知道WHO的三步镇痛阶梯。分别有57.7%和43.6%的参与者倾向于告知晚期患者他们的诊断和预后。超过一半(58.6%)的参与者同意医疗干预决定是患者的权利，63.2%的参与者同意如果患者没有能力，不进行复苏选择是患者或其家属的权利。没有与临终病人讨论预先护理计划的参与者占53.6%。结论:本研究反映了临终病人管理中对临终病人的一些医学和伦理问题缺乏知识和专业精神。埃及迫切需要正规的教育和培训，以提高个人电脑的整体视野和实践。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.