Publication in refereed journal
香港中文大学研究人员 ( 现职)
| Professor Gavin Matthew JOYNT (麻醉及深切治疗学系) |
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Web of Sciencehttp://aims.cuhk.edu.hk/converis/portal/Publication/5WOS source URL
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摘要Introduction: Patients admitted to the intensive care unit (ICU) may not benefit from the life support provided and it may result in prolonged and unnecessary suffering. Limiting life-support therapy in this situation is an ethically acceptable practice in Western countries. Statements produced by professional bodies have been generally made from a Western perspective. Cultural influences, aspects of management and resource limitations may create differences, yet there is little information available on the ethical decision making processes involved in limitation of life support in Asian countries. This article reviews the processes involved in the limitation of life support in critically ill intensive care patients in the predominantly Chinese population of Hong Kong. Methods: Direct and computerised search of locally available and international published research articles and opinions. Results: Limitation of life-support therapy occurs ill 23% to 61% of critically ill Chinese patients that die within the ICU which is comparable to figures presented in the Western literature. Relatives wish to be part of the decision making process when limitation of therapy is to be considered. A staff attitude of caring towards patient and family, a need for information from the doctor and staff, and competence in providing adequate treatment have been identified as important factors by relatives when limitation of life-support therapy was being discussed. Conclusions: Limitation of therapy in dying Chinese patients occurs in ICUs and, patients and relatives concur in 9http://aims.cuhk.edu.hk/converis/portal/Publication/5% of cases with medical decisions to limit therapy in these patients. The importance of communication as well as a desire to participate in the decision-making process regarding limitation of therapy suggest similarities between Western and Asian expectations. More comprehensive data are required regarding end-of-life issues in the Asian context, especially in relation to the general population's perception as to the processes involved.
着者Buckley TA, Joynt GM
期刊名称ANNALS ACADEMY OF MEDICINE SINGAPORE
出版年份2001
月份http://aims.cuhk.edu.hk/converis/portal/Publication/5
日期1
卷号30
期次3
出版社ACAD MEDICINE SINGAPORE
页次281 - 286
国际标準期刊号0304-4602
语言英式英语
Web of Science 学科类别General & Internal Medicine; Medicine, General & Internal; MEDICINE, GENERAL & INTERNAL
