中国肿瘤科／老年科大夫对姑息医学的态度

CHINESE ONCOLOGISTS’/GERIATRICIANS’ ATTITUDE TO PALLIATIVE MEDICINE

[目的]了解目前中国肿瘤科大夫、老年科大夫对姑息医学的态度,为建立中国特色的姑息关怀模式掌握基本的信息资料,为在我国更好的开展姑息医学提供科学依据。[方法]采用调查问卷,由调查人员提问,与被调查者讨论,并针对性地引申提问,然后将整个会谈的内容录音,再书面整理。[结果]大约80%的医生对姑息医学缺乏认识,没有认识到其必要性和重要性从而导致:医疗资源浪费严重;不能识别、评估濒死;对很多终末期症状处理不恰当;癌性疼痛使用麻醉性镇痛剂的方法仍存在误区;病人精神心理和宗教问题未能得到足够重视;患者的自主权未能得到尊重和确认;尚未对幸存者开展居丧服务,与病人和家属的交流尚待改善等。[结论]在我国开展和实施姑息医学这一医学分支学科,将能够最大限度的改善病人和家属的生存质量,为国家、家庭节约医疗经费开支,具有深远的社会意义。

[Objective] To learn Chinese oncologists＇/geriatrieians＇ attitude to palliative medicine, for developing palliative medicine in China and instructing palliative medicine model with Chinese characteristics, relief later period patients＇ pain and improve their quality of life. [Methods] Used questionnaire, inquirer asked and discussed with target, recorded the interview, then put in order to written report. [ Results] About 80% doctors lacked of knowledge for palliative medicine and didn＇t recognize it was necessary and important; medical resources wasted too much; there was no standard to evaluate the brink of death. The treatment in the final phrase of life was not proper. The methods of using narcotic to control cancer pain still had long-standing mistaken idea. Enough importance was not given to patients＇ psychological and religion problem. Patients had no power to make their own decisions. [Conclusion] Developing and implementing palliative medicine which is a branch of medicine will greatly improve quality of life for patients and their families, and save medical cost for country and families.