Should the ventilator be withdrawn?: Attitudes of the general public, nurses and physicians
Should the ventilator be withdrawn?: Attitudes of the general public, nurses and physicians
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DOI：
10.1046/j.1365-2346.1999.00532.x
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发表时间：
1999-08-01
影响因子：
3.6
通讯作者：
Nilstun, T
中科院分区：
文献类型：
--
作者：
Sjökvist, P;Berggren, L;Nilstun, T
在瑞典的一项全国性研究中，对来自29个重症监护室的1196名普通公众、121名医生和339名护士进行了关于重症患者使用呼吸机治疗的调查。应答率分别为64%、88%和86%。介绍了两种典型的病史情景：一种描述了一名意识清醒且有能力的肺炎和重度癌症患者，另一种描述了一名头部创伤后昏迷1个月的患者。在癌症患者的情况下，49%的公众、63%的医生和59%的护士回答说，如果他们是患者，他们希望停止呼吸机治疗。在昏迷患者的情况下，48%的公众，82%的医生和70%的护士回答说，如果他们是患者的亲属，他们希望停止呼吸机治疗。在三个组中，受访者自己的偏好，生命支持有利于呼吸机治疗的撤出。
In a Swedish nation-wide study, 1196 members of the general public, and 121 physicians and 339 nurses drawn from 29 intensive care units were questioned about the use of ventilator treatment for severely ill patients. Response rates were 64%, 88% and 86%, respectively. Two typical case history scenarios were presented: one describing a conscious and competent patient with pneumonia and severe cancer, and the other describing a patient who had been comatose for 1 month following head trauma. in the case of the cancer patient, 49% of the general public, 63% of the physicians and 59% of the nurses answered that they would wish that the ventilator treatment be discontinued, if they were the patient. In the case of the comatose patient, 48% of the general public, 82% of the physicians and 70% of the nurses answered that they would wish that the ventilator treatment to be discontinued, if they were a relative of the patient. Respondents own preferences, in the three groups, for life support favoured withdrawal of ventilator treatment.