ICU生命末期患者家属拒绝放弃治疗的质性研究

Qualitative research on refusing to give up treatment of family members for ICU end-of-life patients

目的：了解ICU生命末期患者家属拒绝放弃治疗的原因。方法采用现象学方法，对3家三级甲等医院10名ICU生命末期患者家属进行深入访谈，分析主题。结果通过访谈，共提炼出经济条件、临终场所、死亡认知、家属意见4个主题因素。结论生命末期患者的放弃治疗应尽快合法化和规范化，以减少患者临终前痛苦，为临终关怀在ICU的发展提供理论依据。

Objective To understand the reasons that relatives refused to give up treatment for ICU end-of-life patients. Methods A depth interview was conducted to analyze themes with 10 relatives of end-of-life patients from level three classes A hospitals by using phenomenological method. Results Four themes were abstracted including economic conditions, death place, cognition of death, opinions of family members. Conclusions Giving-up treatment for end-of-life patients in ICU should be legalized and standardized as soon as possible in order to reduce the patients′dying suffering and provide a theoretical basis for the development of hospice care in ICU.