دورية أكاديمية

Family Medicine Residents' Knowledge and Attitudes About End-of-Life Care in Taif City, Saudi Arabia.

التفاصيل البيبلوغرافية
العنوان: Family Medicine Residents' Knowledge and Attitudes About End-of-Life Care in Taif City, Saudi Arabia.
المؤلفون: Alghamdi AN; Family Medicine, College of Medicine, Taif University, Taif, SAU., Alzahrani TA; Family Medicine, Prince Mansour Military Hospital, Taif, SAU., Alswat GH; Family Medicine, College of Medicine, Taif University, Taif, SAU., Althagafi HA; Family Medicine, College of Medicine, Taif University, Taif, SAU., Alosaimi SA; Family Medicine, College of Medicine, Taif University, Taif, SAU., Alalawi WW; Family Medicine, College of Medicine, Taif University, Taif, SAU., Turkstani A; Family Medicine, College of Medicine, Taif University, Taif, SAU.
المصدر: Cureus [Cureus] 2023 Dec 17; Vol. 15 (12), pp. e50652. Date of Electronic Publication: 2023 Dec 17 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Background End-of-life care is essential for individuals with advanced illness and their families, providing comfort, symptom control, and dignity in the final year of life. Additionally, physician competence requires the ability to communicate, make decisions, and create relationships in end-of-life care. This study assesses family physicians' knowledge and attitude regarding end-of-life care in Taif, Saudi Arabia. Methods This descriptive cross-sectional study conducted between October and November 2021 assessed the knowledge and attitudes of 163 family physicians in Taif City, Saudi Arabia, regarding end-of-life care. Using a convenient sampling technique, an adapted and validated questionnaire was administered electronically, collecting sociodemographic information and assessing participants' knowledge and attitudes. Data were analyzed using descriptive statistics in Statistical Product and Service Solutions (SPSS, version 28) (IBM SPSS Statistics for Windows, Armonk, NY). Results Findings included that 41.1% of residents believed the patient and family should be informed about diagnoses and prognoses in advanced diseases. At the same time, attitudes varied, with 45.4% agreeing that discussing such information could lead to patient depression and 42.9% believing it held no privilege for patients. Additionally, 57.7% recognized that grief reactions would occur, but patients would eventually adjust, and 44.8% agreed that discussing diagnoses would decrease patient anxiety. However, limited awareness of advance directives was evident, with 12.3% reporting being well aware and 45.4% having never heard of them. There was uncertainty and hesitancy regarding Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions, with 39.9% being well aware and 46% having heard of it without a strong understanding. Conclusion The findings revealed a mixed landscape, with physicians demonstrating awareness of the importance of transparent communication but needing more knowledge in areas such as advance directives and complex decision-making. The study highlighted the need for targeted education to address these gaps and promote a more informed and consistent approach to end-of-life care.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Alghamdi et al.)
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فهرسة مساهمة: Keywords: end-of-life and hospice care; end-of-life ethics; family medicine residency; taif city; team-based end-of-life care
تواريخ الأحداث: Date Created: 20240117 Latest Revision: 20240118
رمز التحديث: 20240118
مُعرف محوري في PubMed: PMC10790116
DOI: 10.7759/cureus.50652
PMID: 38229810
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.50652