Ballin Nicola Hvidt
Hvidovre Hospital, Gastroenheden, Medicinsk Sektion.
Ugeskr Laeger. 2007 Mar 26;169(13):1201-4.
The article is based on a structured literature review. Practicing DNR orders in Denmark has not yet been described and there are no national guidelines. Generally patients must give informed consent before do-not-resuscitate (DNR) orders. Only 32% of competent patients are involved prior to the decision even though patients wish to talk about decisions regarding the end of life . In general doctors cannot predict patients' do-not-resuscitate preferences and doctors underestimate patients' self-estimated quality of life. Doctors rarely contact the Danish Living Will Registry. Patients with do-not-resuscitate orders may be subject to other therapeutic reductions. In conclusion, patient autonomy should also be respected in the case of do-not-resuscitate orders.
本文基于结构化文献综述。丹麦实施“不要复苏”（DNR）医嘱的情况尚未被描述，且没有国家指南。一般来说，患者在下达“不要复苏”医嘱之前必须给予知情同意。尽管患者希望谈论关于生命末期的决定，但在做出决定之前，只有32%的有行为能力的患者参与其中。一般而言，医生无法预测患者的“不要复苏”偏好，并且医生低估了患者自我估计的生活质量。医生很少联系丹麦生前预嘱登记处。有“不要复苏”医嘱的患者可能会接受其他治疗减少措施。总之，在“不要复苏”医嘱的情况下，患者的自主权也应得到尊重。
