Park Hyoung Sook, Koo Mi Jee, Kim Young Hee
College of Nursing, Pusan National University, Busan, Korea.
Taehan Kanho Hakhoe Chi. 2006 Oct;36(6):1055-64. doi: 10.4040/jkan.2006.36.6.1055.
The purpose of this study was to analyze and clarify the ambiguous concept of DNR, and to distinguish between DNR and euthanasia.
This study used the process of Walker & Avant's concept analysis.
The definable attributes of DNR were care for comfort, no further treatment and no CPR. The antecedents of DNR were the autonomy of patients and families feelings about death, the uselessness of treatment and the right to die with dignity. The process of the DNR decision should be documented and the antecedents of DNR also can be a basis for objective standards of DNR decision-making. The result of DNR was the acceptance of death by patients and families.
DNR is decided and documented by the antecedents of DNR, and the result is a natural acceptance of death, the last process of human life. Hospice care should be activated and nurses must be patient's advocates and families' supporters in the process.
本研究旨在分析并阐明“不要复苏”（DNR）这一模糊概念，并区分DNR与安乐死。
本研究采用了沃克和阿凡特的概念分析方法。
DNR的可定义属性为舒适护理、不再进行进一步治疗和不进行心肺复苏。DNR的前提包括患者的自主权、患者家属对死亡的感受、治疗的无效性以及尊严死的权利。DNR决策过程应予以记录，DNR的前提也可为DNR决策的客观标准提供依据。DNR的结果是患者及其家属对死亡的接受。
DNR由其前提决定并记录在案，结果是对死亡的自然接受，这是人类生命的最后过程。应启动临终关怀，在此过程中护士必须成为患者的支持者和患者家属的后盾。
