Medical students and physicians should possess basic knowledge concerning medical ethics and palliative care. The aim of the study was to explore the knowledge on the end-of-life ethics and palliative care in third-year medical students and physicians during internal medicine specialty training and their attitude towards breaking bad news and euthanasia. A voluntary and anonymous questionnaire survey with the participation of 401 students and 217 physicians filled after lectures concerning ethics for medical students and after palliative medicine course for physicians during internal medicine specialty training. A total of 28 % students and 24 % physicians (p = 0.282) were ready to reveal full information to advanced cancer patients. A total of 82 % of students and 90 % of physicians (p = 0.008) would not practice euthanasia; 67 % of students and 75 % of physicians (p = 0.039) were opponents of euthanasia legalisation. A total of 70 % doctors and 23 % students indicated oral as the most preferable route of morphine administration. A total of 74 % physicians and 43 % students stated that there is no maximal dose of morphine; 64 % of doctors and 6 % of students indicated constipation as a constant adverse effect of morphine. Breaking bad news is a significant difficulty for both students and physicians. There is a small percentage of those tending to practice euthanasia and bigger accepting its legalisation with fewer physicians than students. In contrast to medical students, the majority of physicians have knowledge concerning chronic morphine use in the treatment of cancer patients.

译文

:医学生和医师应具备有关医学伦理和姑息治疗的基本知识。这项研究的目的是探索在内部医学专业培训期间对三年级医学生和医师的临终道德和姑息治疗的知识,以及他们对突发新闻和安乐死的态度。一项自愿性匿名调查表调查包括401名学生和217名医生,参加了关于内科医学专业课程的有关医学生的道德讲座和针对医生的姑息医学课程之后的调查。共有28%的学生和24%的医生(p = 0.282)准备向晚期癌症患者透露全部信息。共有82%的学生和90%的医生(p = 0.008)不实行安乐死; 67%的学生和75%的医生(p = 0.039)反对安乐死合法化。总共70%的医生和23%的学生表示口服是吗啡最优选的给药途径。共有74%的医生和43%的学生表示,没有最大剂量的吗啡。 64%的医生和6%的学生表示,便秘是吗啡的持续不良反应。打破坏消息对学生和医生都是很大的困难。只有一小部分人倾向于实行安乐死并更多地接受安乐死的合法化,而医生人数少于学生。与医学生相反,大多数医生都具有有关慢性吗啡在癌症患者治疗中的知识。

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