Objective To find out the medical personnel's attitude and conduct propensity to palliative and natural death of terminal malignant tumor patients. Methods Accidental sampling method was used to investigate 206 medical personnel in oncology or related departments from five hospitals:Guangdong Provincial People's Hospital,Dongguan Municipal People's Hospital,Shinglong People's Hospital,First Affiliated Hospital of Guangdong Medical University and Guangdong Agricultural Reclamation Hospital about their general information( gender,age,working types,professional title,academic credentials, length of service,and working department),the treatment methods they used for the terminal malignant tumor patients,the rea-sons for the treatment methods( multiple choice questions),their attitude toward the treatment,their viewpoint on palliative and natural death,the biggest barrier,their analysis of publicity methods,etc. Results 206 questionnaires were enrolled and 206 were returned with a rate of 100. 0%,among which 198 were valid with effective rate of 96. 1%. 60. 1%( 119/198 ) medical personnel say " yes" to the palliative treatment. 36. 9%( 73/198 ) had applied it. 75. 8%( 150/198 ) listened to the patients or relatives. 86. 0%(170/198) thought patients needed symptomatic treatment to relieve pain. 66. 2%(131/198) thought it was necessary or very necessary to popularize the palliative death. 57. 1%( 113/198 ) thought the biggest barrier to popularize palliative death was lack of clear policy or law specification and therefore was easy for medical disputes. 19. 7%( 39/198 ) had some knowledge of palliative death. Conclusion The knowledge rate on palliative death of medical personnel is lower. It is neces-sary to strengthen expertise education and training on the palliative and natural death in the medical personnel,as well as publici-ty and education about the related knowledge of natural and palliative death to the people. The medical personnel in oncology de-partment need change their treatment concept to the terminal malignant tumor patients.%目的：了解医务人员对恶性肿瘤末期患者安宁自然死的态度和行为倾向。方法采用偶遇调查法，于2012年8月对广东省人民医院、东莞市人民医院、石龙人民医院、广东医学院附属医院和广东农垦医院等肿瘤科以及与肿瘤治疗相关科室206名医务人员进行调查。问卷内容主要包括医务人员基本情况（包括性别、年龄、工作类型、职称、学历、工作年限和工作科室），对恶性肿瘤末期患者采取的治疗方式，采取的治疗方式主要是基于什么（多项选择题），对恶性肿瘤末期患者治疗的态度，对我国是否推进安宁自然死的认识，对推进安宁自然死的最大障碍认识，对安宁自然死的了解程度，对推广安宁自然死的方式等。结果共发放调查问卷206份，回收206份，回收率为100.0%；有效问卷198份，有效率为96.1%。60.1%（119/198）的医务人员对恶性肿瘤末期患者倾向采取安宁治疗，36.9%（73/198）的医务人员实际采取安宁治疗；医务人员采取的治疗方式是患者或其家属的要求占75.8%（150/198）；医务人员认为患者应对症治疗，减轻痛苦的占86.0%（170/198）；医务人员认为我国推进安宁自然死很有必要和有必要的占66.2%（131/198）；医务人员认为推进安宁自然死的最大障碍是国家政策或法律缺乏明确的可操作性规范，容易引发医疗纠纷的占57.1%（113/198）；医务人员了解安宁自然死的占19.7%（39/198）。结论医务人员对安宁自然死的了解率较低，需要对医务人员大力加强安宁自然死专业知识的教育和培训，以及在全社会加强安宁自然死相关知识的宣传和教育，需要转变肿瘤科医务人员对末期患者的诊疗观念等。
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