The opinions and knowledge of nurses about dysthanasia.

Cilj istraživanja. Cilj ovog istraživanja bilo je ispitati postoji li razlika u mišljenjima medicinskih sestara / tehničara o distanaziji s obzirom na stupanj obrazovanja, životnu dob i mjesto rada, Ustroj studije. Presječna studija. Ispitanici i metode. Istraživanje je provedeno tijekom rujna i listopada 2017. godine u KBC-u Osijek. U istraživanju je sudjelovalo 113 ispitanika, medicinskih sestara / tehničara, U svrhu ovog istraživanja korišten je izrađeni anketni upitnik, koji sadrži 38 pitanja. Rezultati. U usporedbi mišljenja, s obzirom na stupanj obrazovanja nisu pronađene statistički značajne razlike. Utvrđena je korelacija prema mišljenjima s obzirom na dob. Što su ispitanici bili stariji više su se slagali s tvrdnjama da pacijenti i obitelji često imaju nerealna očekivanja u terminalnoj fazi, također da beskorisna terapija znači patnju, a ne kvalitetu života te su za obustavu takvog tretmana. Smatraju da cilj liječenja treba biti smanjenje boli i patnje, a problem bi se riješio otvaranjem ustanova za palijativnu skrb. Statistički značajne razlike su pronađene u mišljenjima prema radnom mjestu. Anesteziološki zaposlenici, suprotno od ostalih, pridaju veću važnost farmakoterapiji nego psihoterapiji te također u usporedbi s drugima imaju mišljenje da se nije poštovala pacijentova odluka prema nalogu DNR. Zaključak. Potrebna je dodatna edukacija med. sestara / tehničara o pitanju smrti, distanazije i eutanazije. Od važnosti je proširiti svijest u javnosti o smrti kao prirodnom procesu, educirati javnost o drugim mogućnostima terapije i potaći zdravstvo na djelovanje; na razvoj palijativne skrbi i otvaranje hospicija.Study goal. The aim of this study was to examine if there is a difference in the opinions of nurses / technicians about dysthanasia regarding the level of education, age and work place. Study Design. A cross-sectional study. Methods and participants. The research was conducted during September and October 2017 at KBC Osijek. The sample included 113 subjects, nurses / technicians. A survey questionnaire containing 38 questions was created for the purpose of this research. Results. When comparing the opinions, no statistically significant differences were found regarding the level of education. Statistically significant correlation was found in age-related opinions. The older the respondents were, the more they agreed with the claims that patients and families often have unrealistic expectations at the terminal stage, and also that useless therapy means suffering, not quality of life. In their opinion, such treatments should be terminated. They consider that the goal of treatment should be reduction of pain and suffering, and that the problem could be solved by opening palliative care facilities. Statistically significant differences were found in opinions regarding the work place. Anaesthesiology employees, in contrast to others, share an opinion that pharmacotherapy is more important than psychotherapy. In addition to that, they think that patient’s decision about DNR order was not respected. Conclusion. Additional education and training for nurses / technicians is necessary, especially regarding the topic of death, dysthanasia and euthanasia. It is important to expand public awareness about death as a natural process, educate the public about other therapeutic options and encourage healthcare to work on the development of palliative care and opening of hospices