Spouse as health care proxy for dialysis patients: whose preferences matter?

Spouse as health care proxy for dialysis patients: whose preferences matter?
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配偶作为透析患者的医疗保健代理:谁的偏好重要?

DOI:
10.1093/geront/45.6.812
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发表时间:
2005
期刊:
The Gerontologist
影响因子:
--
通讯作者:
Levinsky,NormanG
Levinsky,NormanG
中科院分区:
--
文献类型:
--
作者:
Pruchno,RachelA;LemayJr,EdwardP;Feild,Lucy;Levinsky,NormanG

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目的:我们研究了终末期肾病患者的配偶所做的替代判断在多大程度上反映了患者的偏好。设计和方法:我们使用了291对夫妇的数据,比较了透析患者在各种假设情况下对继续血液透析的偏好,其中既有配偶的替代判断数据,也有配偶自己的偏好信息。结果:替代判断与配偶偏好的关系大于与患者偏好的关系。启示:研究结果提出了关于病人自主的道德原则在多大程度上应该指导生命结束时的决策的问题。
Purpose:We examined the extent to which the substituted judgments made by spouses of patients with end-stage renal disease actually reflect patient preferences.Design and Methods:We used data from 291 couples to compare dialysis patients' preferences for continuing hemodialysis under a variety of hypothetical situations with both substituted judgment data from spouses and information about spouses' own preferences.Results:Substituted judgments were more highly related to spouses' preferences than to patients' preferences.Implications:Findings raise questions about the extent to which the moral principle of patient autonomy should guide decision making at the end of life.
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