安宁疗护与缓和疗护研究中的伦理考量

G. Youn
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引用次数: 2

摘要

随着医疗技术的进步和经济的发展,越来越多的临终病人接受临终关怀和姑息治疗服务。此外,安宁疗护和缓和疗护的临床医师已对旨在改善病人及其家属照护品质的研究表现出相当大的兴趣。与此同时,在政府加强了保护研究参与者的政策之后,机构审查委员会(irb)在审查临终关怀和姑息治疗研究协议时,更密切地审查与患者脆弱性相关的各种伦理问题。然而,临终病人需要有质量保证的安宁疗护和缓和疗护,以改善和维持他们的生活品质。为此目的,应支持对临终关怀和姑息治疗病人进行道德和安全研究的努力。因此,本文提出安宁疗护与缓和疗护研究的伦理准则。这些指南可以适当地作为研究人员的参考,他们应该为伦理上安全和科学上有价值的研究方案和审查方案的内部审查委员会做准备。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ethical Considerations in Hospice and Palliative Care Research
Along with the advances in medical technology and the economic development, more terminally ill patients are receiving hospice and palliative care services. Moreover, hospice and palliative care clinicians have been showing considerable interest in studies that aim to improve the quality of said care for patients and their families. Meanwhile, after the government has strengthened its policy to protect research participants, the institutional review boards (IRBs) are more closely examining various ethical issues related to patients’ vulnerability when reviewing protocols for hospice and palliative care research. However, terminally ill patients should be provided with guaranteed qualities of hospice and palliative care to improve and maintain their quality of life. To that end, support should be provided for efforts to conduct ethical and safe studies with hospice and palliative care patients. Thus, this review paper proposes ethical guidelines for hospice and palliative care research. The guidelines could be appropriately used as a reference for researchers who should prepare for ethically safe and scientifically valued research protocols and the IRBs that will review the protocols.
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