head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2022, vol. 28, issue3
Subject Area: Public Health
DOI: 10.5272/jimab.2022283.4566
Published online: 20 September 2022

Original article
J of IMAB. 2022 Jul-Sep;28(3):4566-4568
Paraskeva ManchevaORCID logo, Gergana NenovaORCID logo Corresponding Autoremail,
Department of Kinesitherspy, Faculty of Public Health, Medical University-Varna, Bulgaria.

Introduction: a central problem in medical practice is the resumption of good quality of life in chronically ill patients with disability. The unresolved health problems of chronically ill patients with disability inevitably lead to increased consumption of health services and create a risk of a euthanistic predisposition.
Aim: to study the relation between quality of life and legal awareness of euthanasia in chronically ill patients with disability.
Material and methods: Material: The study includes 173 polymorbid patients with disability, evaluated by the Territorial Expert Medical Commission (TEMC) in the Varna region. The research was conducted during the time period of July-December 2021. Methods: sociological methods - individual and group examinations and statistical methods - analysis (χ2), variance analysis, correlation analysis (r), regression analysis (β).
Results and discussion: we establish a predominant influence of the "Environment" and "Physical health" domains while assessing the legal awareness of euthanasia in this vulnerable group in society. Pain and low quality of life, determined by the lack of social support, are important factors in deciding on euthanasia.
the low quality of life of chronically ill patients with a disability requires more adequate opportunities, ensuring optimal disease management. Bulgarian society suffers a significant insufficiency of palliative/hospice care, which makes legalizing euthanasia at the moment a premature decision.

Keywords: euthanasia, quality of life, disability,

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Please cite this article as: Mancheva P, Nenova G. Quality of Life, Legal Awareness of Euthanasia and Disability. J of IMAB. 2022 Jul-Sep;28(3):4566-4568. DOI: 10.5272/jimab.2022283.4566

Corresponding AutorCorrespondence to: Gergana Boncheva Nenova, Faculty of Public Healt, Medical University of Varna; 1, Hristo Smirnenski Str., 9002 Varna, Bulgaria; E-mail: geri_nenova@yahoo.com

1. Gómez-Vírseda C. John Keown: Euthanasia, ethics and public policy: an argument against legalization, 2nd edition. Theor Med Bioeth. 2020; 41:61-66. [Crossref]
2. Rachels JA. Active and Passive Euthanasia. In: The Social Medicine Reader. Vol. I, Third Edition. Duke University Press. 2019, pp. 273-279. [Crossref]
3. Luxardo N, Padros CV, Tripodoro V. Palliative Care Staff Perspectives: The Challenges of End-of-life Care on Their Professional Practices and Everyday Lives. J HospPalliatNurs. 2014 May;16(3):165-172. [Crossref]
4. Riisfeldt TD. Weakening the ethical distinction between euthanasia, palliative opioid use and palliative sedation. J Med Ethics. 2019 Feb;45(2):125-130. [PubMed]
5. Mancheva P, Kerekovska A, Nenova G. The dilemma "for" and "against" euthanasia and legal awareness of the disabled. J of IMAB. 2016 Oct-Dec;22(4):1344-1347. [Crossref]
6. Vancova D, Mancheva P. Quality of life of individuals with disabilities - concepts and concerns. Scripta Scientifica Salutis Publicae. 2015; 1(1):21-28. [Crossref]
7. Yun YH, Han KH, Park S, Park BW, Cho CH, Kim S, et al. Attitudes of cancer patients, family caregivers, oncologists and members of the general public toward critical interventions at the end of life of terminally ill patients. CMAJ. 2011 Jul 12;183(10):E673-9. [PubMed]
8. Berghe PV, Mullie A, Desmet M, Huysmans G. Assisted dying—the current situation in Flanders: Euthanasia embedded in palliative care. Eur J Palliat Care. 2013; 20(6):266-272. [Internet]
9. Bellens M, Debien E, Claessens F, Gastmans C, Dierckx de Casterlé B. "It is still intense and not unambiguous." Nurses' experiences in the euthanasia care process 15 years after legalization. J ClinNurs. 2020 Feb;29(3-4):492-502. [PubMed]
10. Shivachev Y, Bogomilova S. Prevention tools in the area of the knee complex - treatment and prophylaxis. J of IMAB. 2020 Apr-Jun;26(2):3160-3162. [Crossref]

Received: 15 January 2022
Published online: 20 September 2022

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