Clinicians'Practice and Opinions on Sedation Therapy in End-Stage Patients
10.3881/j.issn.1000-503X.15861
- VernacularTitle:临床医生对终末期患者镇静治疗的经历和观点调查
- Author:
Jiawen YU
1
;
Hongju LIU
;
Jinmin PENG
;
Xiaoyan DAI
;
Ying ZHENG
;
Di SHI
;
Xiaohong NING
;
Yuguang HUANG
Author Information
1. 中国医学科学院 北京协和医学院 北京协和医院 麻醉科, 北京 100730
- Keywords:
end-stage patient;
sedation;
palliative care;
refractory symptom
- From:
Acta Academiae Medicinae Sinicae
2024;46(1):62-67
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate clinicians'practice and opinions on sedation therapy in end-stage patients at Peking Union Medical College Hospital.Methods From August,2022 to April,2023,an online questionnaire survey was conducted among clinicians involved in end-stage patient management.Results A total of 205 questionnaires were distributed,with an effective response rate of 56.1% .Among the clinicians,55.7% of them had experience of applying sedation therapy in end-stage patients;85.2% of clinicians believed that se-dation could relieve the suffering of terminal patients from physical refractory symptoms;75.7% of clinicians considered that sedation therapy could be used to relieve agony from psycho-existential distress.Most clinicians had concerns about sedation therapy due to the lack of legal support(86.1% )and the lack of understanding of patients or families(59.1% ).The majority(90.4% )of clinicians were willing to receive training on palliative sedation.Conclusions A majority of clinicians agree that sedation therapy could relieve the physical distress and psycho-existential distress in end-stage patients.However,most clinicians have concerns about the application of sedation therapy due to the lack of legal support.It is necessary to enhance the training on palliative sedation.
