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学科主题临床医学
End-of-life care in urban areas of China: A survey of 60 oncology clinicians
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
2004-02-01
DOI10.1016/j.jpainsymman.2003.06.002
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
引用统计
被引频次:33[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/68221
专题北京大学临床肿瘤学院_肿瘤内科
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
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GB/T 7714
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.
APA Wang, XS,Di, LJ,Reyes-Gibby, CC,Guo, H,Liu, SJ,&Cleeland, CS.(2004).End-of-life care in urban areas of China: A survey of 60 oncology clinicians.JOURNAL OF PAIN AND SYMPTOM MANAGEMENT,27(2),125-132.
MLA Wang, XS,et al."End-of-life care in urban areas of China: A survey of 60 oncology clinicians".JOURNAL OF PAIN AND SYMPTOM MANAGEMENT 27.2(2004):125-132.
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