Will to live in the terminally ill
Will to live in the terminally ill
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DOI：
10.1016/s0140-6736(99)80011-7
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发表时间：
1999-09-04
期刊：
影响因子：
168.9
通讯作者：
Dudgeon, D
中科院分区：
文献类型：
--
作者：
Chochinov, HM;Tataryn, D;Dudgeon, D
背景复杂的生物医学和心理社会因素在关于安乐死和协助自杀的辩论中占据突出地位。然而，迄今为止，还没有研究探讨在何种程度上一个垂死的病人的生活意志波动作为death approaches.Methods这项研究探讨了姑息治疗癌症患者。在整个住院期间，采用自我报告的100 mm视觉模拟量表，每天测量两次生存意愿。将该量表纳入埃德蒙顿症状评估系统，该系统是一系列测量疼痛、恶心、呼吸急促、食欲、嗜睡、抑郁、健康感、焦虑和活动的视觉模拟量表。最大和中位数波动将生活的评级，分开12小时，24小时，7天，30天，计算each patient.Findings的585例患者承认姑息治疗在研究期间（1993年11月，1995年5月），168（29%，年龄31-89岁）符合标准的认知和身体健康，并同意参加。生存意志评分的中位数变化模式表明，生存意志是稳定的（中位数变化
Background Complex biomedical and psychosocial considerations figure prominently in the debate about euthanasia and assisted suicide. No study to date, however, has examined the extent to which a dying patient's will to live fluctuates as death approaches.Methods This study examined patients with cancer in palliative care. Will to live was measured twice daily throughout the hospital stay on a self-report 100 mm visual analogue scale. This scale was incorporated into the Edmonton symptom assessment system, a series of visual analogue scales measuring pain, nausea, shortness of breath, appetite, drowsiness, depression, sense of wellbeing, anxiety, and activity. Maximum and median fluctuations in will-to-live ratings, separated by 12 h, 24 h, 7 days, and 30 days, were calculated for each patient.Findings Of 585 patients admitted to palliative care during the study period (November, 1993, to May, 1995), 168 (29%; aged 31-89 years) met criteria of cognitive and physical fitness and agreed to take part. The pattern of median changes in will-to-live score suggested that will to live was stable (median changes