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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >Attitudes toward end-of-life situations other than euthanasia and assisted suicide among Portuguese oncologists.
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Attitudes toward end-of-life situations other than euthanasia and assisted suicide among Portuguese oncologists.

机译：对安乐死以外的生命终结状况的态度以及葡萄牙肿瘤学家对自杀的协助。

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BACKGROUND: The aim of this study was to determine the attitude of Portuguese oncologists toward end-of-life situations other than euthanasia and assisted suicide. METHODS: This study used a survey of 450 Portuguese oncologists by postal means and personal contact. MAIN RESULTS: The response rate was 33% (143). Only 7.7% doctors would give lethal doses of drugs to someone with an incurable, advanced, and progressive disease that is unable to make decisions, at the request of a family member or other close person. However, 30 doctors (21.3%) would prefer, in the event they were in such a situation, that the drugs be given them at their request. None of the 12.4% who have received such requests admitted to committing any of those acts. Almost 70% of the doctors would withdraw life support measures at the patient's request if the same had an incurable, advanced, and progressive disease, and a further 14% would do it in certain circumstances, but only 41% would withdraw measures such as nutrition and hydration. Fewer doctors would withdraw such measures including nutrition and hydration at a family member's request or on their own initiative. Religion has a major influence on the doctors' opinion. Most doctors (96.5%) agreed with the administration of drugs for symptom control even foreseeing that they could shorten life. CONCLUSION: Most Portuguese oncologists respect patients' autonomy, favoring the withdrawal of life support treatment at the patients' request when appropriate and much less do so on the request of others or by their own initiative. They appropriately do not confuse those practices with symptom relief even when hastened death can be envisaged.
机译：背景：这项研究的目的是确定葡萄牙肿瘤学家对除安乐死和辅助自杀以外的生命终结状况的态度。方法：本研究通过邮政方式和个人联系方式对450位葡萄牙肿瘤学家进行了调查。主要结果：回应率为33％（143）。应家庭成员或其他亲密人士的请求，只有7.7％的医生会给无法治愈，晚期和进行性疾病，无法做出决定的人服用致命剂量的药物。但是，如果有30位医生（21.3％）处于这种情况，则应根据他们的要求给他们服药。收到此类请求的12.4％的受访者中没有一个承认犯有任何此类行为。如果患者患有不治之症，晚期疾病和进行性疾病，将近70％的医生会根据患者的要求撤消生命支持措施，在某些情况下还会有14％的医生采取这种措施，但是只有41％的医生会撤消营养措施和水合作用。较少的医生会应家庭成员的要求或主动取消包括营养和补水在内的此类措施。宗教对医生的意见有重大影响。大多数医生（96.5％）同意使用药物来控制症状，甚至预见到它们可以缩短寿命。结论：大多数葡萄牙肿瘤学家尊重患者的自主权，主张在适当时应患者要求撤消生命支持治疗，而很少应他人的要求或主动提出。他们即使在可以设想加速死亡的情况下，也不会将这些做法与症状缓解相混淆。

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