Family perceptions of wishes of dementia patients regarding end‐of‐life care
Family perceptions of wishes of dementia patients regarding end‐of‐life care
复制标题
痴呆症患者临终关怀意愿的家庭认知
DOI：
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发表时间：
2011
影响因子：
4
通讯作者：
H. D. de Vet
中科院分区：
文献类型：
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作者：
J. T. van der Steen;Mirjam C. Van Soest‐Poortvliet;W. Achterberg;M. Ribbe;H. D. de Vet
在一项研究中，抗生素可延迟死亡数天（货车der Steen等人，2009年b）。此外，与获得长期生存的患者数量相比，抗生素可能会延长更多患者的死亡过程。虽然目前尚不清楚抗生素是否能在最佳治疗缓解症状的情况下减少痛苦，但这确实表明了对个体患者进行准确风险评估以平衡抗生素治疗决策的重要性。最后，在滥用抗生素之前，应考虑抗生素治疗对患者（不良反应）和社会（成本和抗生素耐药性的发展）的不良后果。
study, antibiotics delayed dying for several days (van der Steen et al., 2009b). Moreover, antibiotics may prolong the dying process in more patients compared to the number of patients who obtain long-term survival. Although it is still unclear if antibiotics reduce suffering in presence of optimal treatment to relieve symptoms, this does show the importance of accurate risk assessment in individual patients for balanced decision-making regarding antibiotic treatment. Finally, the undesirable consequences of antibiotic treatment for the patient (adverse effects) and the society (cost and development of antibiotic resistance) should be considered before antibiotics are used indiscriminately.