Bereavement Practices of Physicians in Oncology and Palliative Care
Bereavement Practices of Physicians in Oncology and Palliative Care
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DOI：
10.1001/archinternmed.2009.118
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发表时间：
2009-05-25
影响因子：
--
通讯作者：
Krzyzanowska, Monika K.
中科院分区：
文献类型：
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作者：
Chau, Nicole G.;Zimmermann, Camilla;Krzyzanowska, Monika K.
背景：癌症医生经常与垂死的病人互动，但对这些医生的做法知之甚少。本研究的目的是评估的频率和性质丧亲的做法之间的医学肿瘤学家（MO），放射肿瘤学家（RO），姑息治疗专家（PC），并确定与丧亲follow-up.Methods相关的因素：调查所有加拿大MO，RO和PC通过各自的国家组织使用匿名电子和邮政邮件调查。756名合格医生中共有535名完成了调查（71%）。总体而言，33.3%（95%可信区间[CI]，29.3%-37.4%）的受访者表示，他们通常或总是打电话，发送慰问卡，或参加葬礼后，病人的死亡; 30.5%（95% CI，26.5%-34.4%）报告有时至少执行其中一种做法; 36.2%（95% CI，32.1%-40.3%）报告很少或从不执行其中至少一种做法。在具体的做法中，受访者更有可能至少有时给家人打电话，而不是寄慰问卡或参加葬礼。姑息治疗专家报告了最高的丧亲后续率。在多变量回归分析，女性，在学术环境中工作，姑息治疗专业，缺乏正式的姑息治疗计划，认可的声明，医生有责任发送慰问卡，和大量的患者死亡与更频繁的丧亲follow-up.Conclusions：很少有癌症医生提供丧亲后续常规。这表明，共识是缺乏癌症医生之间的作用，在丧亲护理。《内科学文献》2009; 169（10）：963-971
Background: Cancer physicians frequently interact with dying patients, but little is known about these physicians' practices. The purpose of this study was to evaluate the frequency and nature of bereavement practices among medical oncologists (MOs), radiation oncologists (ROs), and palliative care specialists (PCs); and to identify factors associated with bereavement follow-up.Methods: Survey of all Canadian MOs, ROs, and PCs via their respective national organizations using an anonymous electronic and postal mail survey.Results: A total of 535 of 756 eligible physicians completed the survey (71%). Overall, 33.3% (95% confidence interval [CI], 29.3%-37.4%) of respondents indicated that they usually or always make a telephone call, send a condolence card, or attend a funeral following a patient's death; 30.5% (95% CI, 26.5%-34.4%) reported performing at least 1 of these practices sometimes; and 36.2% (95% CI, 32.1%-40.3%) reported performing at least 1 of these practices rarely or never. Among the specific practices, respondents were more likely to call a family at least sometimes than to send a condolence card or attend funeral services. Palliative care specialists reported the highest rates of bereavement follow-up. In multivariate regression analysis, female sex, working in an academic setting, palliative care specialty, lack of formal palliative care program, endorsement of the statement that physicians had a responsibility to send a condolence card, and high number of patient deaths were associated with more frequent bereavement follow-up.Conclusions: Few cancer physicians provide bereavement follow-up routinely. This suggests that consensus is lacking among cancer physicians regarding their role in bereavement care. Arch Intern Med. 2009; 169(10): 963-971