Chinese oncologists' knowledge, attitudes and practice towards palliative care and end of life issues.
Chinese oncologists' knowledge, attitudes and practice towards palliative care and end of life issues.
复制标题
DOI：
10.1186/s12909-016-0668-3
复制
发表时间：
2016-05-18
影响因子：
3.6
通讯作者：
Cheng W
中科院分区：
文献类型：
--
作者：
Gu X;Cheng W
应强调肿瘤学家对姑息治疗（PC）和临终关怀（EOF）的知识和态度，以便为他们提供有效的教育。本研究旨在提供一个描述性分析，了解中国大陆的肿瘤医师对PC和MRI问题的知识、态度和实践。采用问卷调查的方法，对国内肿瘤科临床医生的人口学资料、对PC和MRI的知识和态度进行了调查。参与者平均有10.10年的肿瘤学实践。43人（31.2%）接受过PC教育。73.9%的受试者认为当患者不适合接受手术、放疗、化疗等抗癌治疗时应考虑PC。72.5%的参与者认为早期PC整合可以改善患者的生活质量。73.9%的肿瘤科医生认为主治医生是告知患者诊断结果的合适人选。然而，只有11名参与者选择将诊断和疾病预后告知患者，而39.9%的参与者选择首先向家人/照顾者透露。此外，中国的肿瘤学家显然不熟悉安乐死的概念和相关问题。本研究显示中国肿瘤医师对PC及相关议题的认知不足。应重视对国内肿瘤医师的PC教育。
Oncologists` knowledge and attitudes to palliative care (PC) and end of life (EOF) should be highlighted in order to give them effective education. This study is intended to provide a descriptive analysis of oncologists’ knowledge, attitudes and practice toward PC and EOF issues in Mainland China. The questionnaire survey with 24 items investigating oncologists’ demographic information, knowledge and attitudes toward PC and EOF issues was conducted among Chinese Oncology clinicians. The participants had a mean of 10.10 years practice in oncology. 43 (31.2 %) participants had received PC education. 73.9 % of the participants believed that PC should be considered when patients were not suitable to take surgery, radiotherapy, chemotherapy and other anti-cancer therapies. 72.5 % of the participants believed that early PC integration can improve the quality of life in patients. Most of the oncology clinicians (73.9 %) believed that the doctor-in-charge was the appropriate person to inform patients of the diagnosis. However, only 11 participants chose to inform the diagnosis and disease prognosis to the patients, whereas 39.9 % of the participants chose to disclose it to Family/Caregivers first. Besides, Chinese oncologists were obviously unfamiliar with the concepts of euthanasia and related issues. This study indicated the insufficient knowledge toward PC and related issues of the Chinese oncologists. More attention should be paid on the education of PC among Oncologists in Mainland China.