Ghajarzadeh Mahsa, Habibi Roshanak, Amini Neda, Norouzi-Javidan Abbas, Emami-Razavi Seyed Hassan
Brain and Spinal Injury Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Cancer Research Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Maedica (Bucur). 2013 Sep;8(3):261-4.
To study the attitudes of Iranian medical students towards the do-not-resuscitate (DNR) decision.
In this cross-sectional study, 220 medical students (110 interns and 110 residents) of Tehran University of medical sciences were selected. They asked to answer to the questionnaire which included two items: first item consisted of demographic questions (age, sex, and level of education); second item included questions about DNR Orders which derived from a previous study conducted by Hosaka et al.
A total of 185 questionnaires returned (Response rate (RR=84%)). Ninety five were residents and ninety were interns. Seventy four percent of residents and 53% of interns felt that DNR order is sporadically necessary. Near 30% of interns and 40% of residents had participated in DNRs in their study period and the most case was the patient with terminal cancer. The most common person who decided DNR orders were physicians.Most participants believed that DNR cards are useful for establishing in clinical settings.
As DNR is definitely a medical decision, it should be clearly discussed with patients and their families. So, it should be provided in standard format in medical situations.
研究伊朗医学生对不进行心肺复苏（DNR）决定的态度。
在这项横断面研究中，选取了德黑兰医科大学的220名医学生（110名实习生和110名住院医师）。要求他们回答问卷，问卷包括两个部分：第一部分由人口统计学问题（年龄、性别和教育程度）组成；第二部分包括关于DNR医嘱的问题，这些问题源自Hosaka等人之前进行的一项研究。
共收回185份问卷（回复率（RR = 84%））。其中95名是住院医师，90名是实习生。74%的住院医师和53%的实习生认为DNR医嘱偶尔是必要的。近30%的实习生和40%的住院医师在学习期间参与过DNR相关事宜，大多数情况是针对晚期癌症患者。决定DNR医嘱的最常见人员是医生。大多数参与者认为DNR卡片在临床环境中建立很有用。
由于DNR绝对是一个医疗决定，应该与患者及其家属进行明确讨论。因此，在医疗情况下应以标准格式提供。
