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学科主题: 临床医学
题名:
End-of-life care in urban areas of China: A survey of 60 oncology clinicians
作者: Wang, XS; Di, LJ; Reyes-Gibby, CC; Guo, H; Liu, SJ; Cleeland, CS
关键词: end-of-life care ; practice and attitude ; communication ; China
刊名: JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
发表日期: 2004-02-01
DOI: 10.1016/j.jpainsymman.2003.06.002
卷: 27, 期:2, 页:125-132
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Health Care Sciences & Services ; Medicine, General & Internal ; Clinical Neurology
研究领域[WOS]: Health Care Sciences & Services ; General & Internal Medicine ; Neurosciences & Neurology
关键词[WOS]: BREAKING BAD-NEWS ; PALLIATIVE CARE ; CANCER PAIN ; ATTITUDES ; COMMUNICATION
英文摘要:

Although cancer is a leading cause of death, little is known about cancer-related end-of-life care in China. We surveyed 60 Chinese oncology clinicians′ practices and attitudes toward end-of-life care. Fewer than half reported available hospital-based hospice service, although most urban cancer patients die in the hospital. Most clinicians reported they felt competent to care for dying patients-more competent in controlling pain, constipation, nausea, and vomiting, but less competent in managing depression, anorexia, and dyspnea. Regarding disclosure, most believed that patients should know and want to know their diagnosis and stage, whereas families strongly resist informing patients. Unrealistic family expectations, fears of depressing patients, and physician reluctance to stop treatment were barriers to disclosing prognosis to patients, to ending anti-cancer therapy, and to starting palliative care. Results of the survey suggest specific training and research in symptom management that might improve end-of-life care for Chinese cancer patients. (C) 2004 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

语种: 英语
WOS记录号: WOS:000189269400007
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/68221
Appears in Collections:北京大学临床肿瘤学院_肿瘤内科_期刊论文

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作者单位: 1.Univ Texas, MD Anderson Canc Ctr, Dept Symptom Res, WHO Collaborating Ctr Support Canc Care, Houston, TX 77030 USA
2.Beijing Univ, Beijing Inst Canc Res, Dept Med Oncol, Beijing 100871, Peoples R China

Recommended Citation:
Wang, XS,Di, LJ,Reyes-Gibby, CC,et al. End-of-life care in urban areas of China: A survey of 60 oncology clinicians[J]. JOURNAL OF PAIN AND SYMPTOM MANAGEMENT,2004,27(2):125-132.
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