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首页> 外文期刊>Journal of medical ethics >Influence of physicians' life stances on attitudes to end-of-life decisions and actual end-of-life decision-making in six countries.
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Influence of physicians' life stances on attitudes to end-of-life decisions and actual end-of-life decision-making in six countries.

机译：在六个国家，医生的生活态度对临终决策态度和临终决策的影响。

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AIM: To examine how physicians' life stances affect their attitudes to end-of-life decisions and their actual end-of-life decision-making. METHODS: Practising physicians from various specialties involved in the care of dying patients in Belgium, Denmark, The Netherlands, Sweden, Switzerland and Australia received structured questionnaires on end-of-life care, which included questions about their life stance. Response rates ranged from 53% in Australia to 68% in Denmark. General attitudes, intended behaviour with respect to two hypothetical patients, and actual behaviour were compared between all large life-stance groups in each country. RESULTS: Only small differences in life stance were found in all countries in general attitudes and intended and actual behaviour with regard to various end-of-life decisions. However, with regard to the administration of drugs explicitly intended to hasten the patient's death (PAD), physicians with specific religious affiliations had significantly less accepting attitudes, and less willingness to perform it, than non-religious physicians. They had also actually performed PAD less often. However, in most countries, both Catholics (up to 15.7% in The Netherlands) and Protestants (up to 20.4% in The Netherlands) reported ever having made such a decision. DISCUSSION: The results suggest that religious teachings influence to some extent end-of-life decision-making, but are certainly not blankly accepted by physicians, especially when dealing with real patients and circumstances. Physicians seem to embrace religious belief in a non-imperative way, allowing adaptation to particular situations.
机译：目的：研究医生的生活态度如何影响他们对生命终止决策和实际生命终止决策的态度。方法：来自比利时，丹麦，荷兰，瑞典，瑞士和澳大利亚的垂死患者护理的各个专业的执业医师收到了有关生命终止护理的结构化问卷，其中包括有关其生命立场的问题。回应率从澳大利亚的53％到丹麦的68％不等。比较了每个国家所有大型生活态度群体的一般态度，针对两名假想患者的预期行为以及实际行为。结果：在所有国家对各种生命终止决定的一般态度，预期和实际行为中，在生命立场上只发现了很小的差异。但是，就明确旨在加速患者死亡（PAD）的药物管理而言，具有特定宗教信仰的医生与非宗教医生相比，其接受态度和执行意愿明显较低。他们实际上也很少执行PAD。但是，在大多数国家/地区，天主教徒（在荷兰最高为15.7％）和新教徒（在荷兰最高为20.4％）都曾做出过这样的决定。讨论：结果表明，宗教教义在一定程度上影响着生命周期的决策制定，但当然不会被医生白白接受，特别是在处理真实患者和情况时。医师似乎以非强制性方式接受宗教信仰，从而可以适应特定情况。

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