摘要
调查35例终末期癌症病人及其亲属的求医动机,发现两者之间既有明显差别亦有相同之处,患者一般有强烈的求医动机,但决定是在不完全了解病情真象的情况下作出的。家属则抱着较为现实的态度,主要是出于伦理上的考虑。公费医疗和缓解痛苦是终末期病人及其家属求医的共同的重要因素。只有两例患者主动要求停止治疗,而所有家属都没有提出给病人实行'安乐死'的请求。作者认为,必须先通过教育,使群众和医务人员对死亡有正确的认识,同时加强临终关怀机构的建设,才能有'安乐死'的真正实施。
Seeking doctor intentions of 35 cases of terminal cancer patients and their close relatives was observed. The Patients had strong desire in seeking doctor. However, the decision was made when the patients ded not know the whole condition. The attitude of the relatives were realistic and ethic consideration were the most impontant factor. There had also common place between the patients and their relatives. First were palliative treatment of the patient's complications and second were the free medical service. Only two patients insisted on discontinuing treatment actively but no anyone inthe relatives adked to make euthanasia for the patient. It is suggested that we must pay attention the education of death-in-best and promote the development of hospice care before euthanasia is put into effect in practice.
出处
《中国医学伦理学》
1993年第2期49-50,共2页
Chinese Medical Ethics
关键词
终末期
癌症
求医动机
安乐死
Terminal cancer
Seeking doctor intentions
Euthanasia
