埃及开罗艾因沙姆斯大学医院重症监护病房临终关怀调查

IF 1.3 4区 哲学 Q3 ETHICS
Sonya M S Azab, Samia A Abdul-Rahman, Ibrahim M Esmat
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引用次数: 4

摘要

关于临终关怀的研究揭示了不同国家和地区之间关于保留和/或撤销维持生命治疗的不同做法。关于埃及icu中医生临终关怀实践的可用数据很少。本研究旨在调查埃及开罗艾因沙姆斯大学医院的医生对临终关怀的态度和成人ICU的实践报告,包括目前在艾因沙姆斯大学医院的几个ICU环境中工作的100名医生。数据收集采用自填问卷。大多数参与者同意实施“不复苏”(DNR)命令并应用预先写好的DNR命令(61%和65%连续),而只有13%的人几乎总是/经常为绝症患者订购DNR。52%的参与者同意在某些情况下限制维持生命的治疗是有用的,但他们表示担心法律后果。47%的人认为停止维持生命治疗比停止治疗更合乎道德。16%的人几乎总是/经常放弃进一步的积极治疗,但继续目前的治疗,而只有6%的人几乎总是/经常退出绝症患者的积极治疗。艾因沙姆斯大学医院icu中临终关怀的立法和指导方针的缺乏是参与者态度与实践分离的主要影响因素。因此,就埃及icu的临终关怀达成共识是强制性的。此外,培训icu医生与患者家属和代理人的有效沟通对于规划限制生命维持治疗非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Survey of End-of-Life Care in Intensive Care Units in Ain Shams University Hospitals, Cairo, Egypt.

Studies on end-of-life care reveal different practices regarding withholding and/or withdrawing life-sustaining treatments between countries and regions. Available data about physicians' practices regarding end-of-life care in ICUs in Egypt is scarce. This study aimed to investigate physicians' attitudes toward end-of-life care and the reported practice in adult ICUs in Ain Shams University Hospitals, Cairo, Egypt. 100 physicians currently working in several ICU settings in Ain Shams University Hospitals were included. A self-administered questionnaire was used for collection of data. Most of the participants agreed to implementation of "do not resuscitate" (DNR) orders and applying pre-written DNR orders (61% and 65% consecutively), while only 13% almost always/often order DNR for terminally-ill patients. 52% of the participants agreed to usefulness of limiting life-sustaining therapy in some cases, but they expressed fear of legal consequences. 47% found withholding life-sustaining treatment is more ethical than its withdrawal. 16% almost always/often withheld further active treatment but continued current ones while only 6% almost always/often withdrew active therapy for terminally-ill patients. The absence of legislation and guidelines for end-of-life care in ICUs at Ain Shams University Hospitals was the main influential factor for the dissociation between participants' attitudes and their practices. Therefore, development of a consensus for end-of-life care in ICUs in Egypt is mandatory. Also, training of physicians in ICUs on effective communication with patients' families and surrogates is important for planning of limitation of life-sustaining treatments.

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来源期刊
Hec Forum
Hec Forum ETHICS-
CiteScore
3.70
自引率
13.30%
发文量
34
期刊介绍: HEC Forum is an international, peer-reviewed publication featuring original contributions of interest to practicing physicians, nurses, social workers, risk managers, attorneys, ethicists, and other HEC committee members. Contributions are welcomed from any pertinent source, but the text should be written to be appreciated by HEC members and lay readers. HEC Forum publishes essays, research papers, and features the following sections:Essays on Substantive Bioethical/Health Law Issues Analyses of Procedural or Operational Committee Issues Document Exchange Special Articles International Perspectives Mt./St. Anonymous: Cases and Institutional Policies Point/Counterpoint Argumentation Case Reviews, Analyses, and Resolutions Chairperson''s Section `Tough Spot'' Critical Annotations Health Law Alert Network News Letters to the Editors
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