伊朗护士对“不要复苏”医嘱的态度。
The attitude of Iranian nurses about do not resuscitate orders.
作者信息
Mogadasian Sima, Abdollahzadeh Farahnaz, Rahmani Azad, Ferguson Caleb, Pakanzad Fermisk, Pakpour Vahid, Heidarzadeh Hamid
机构信息
Department of Medical-Surgical, Faculty of Nursing and Midwifery, Tabriz, Iran.
Hematology and Oncology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
出版信息
Indian J Palliat Care. 2014 Jan;20(1):21-5. doi: 10.4103/0973-1075.125550.
BACKGROUND
Do not resuscitate (DNR) orders are one of many challenging issues in end of life care. Previous research has not investigated Muslim nurses' attitudes towards DNR orders.
AIMS
This study aims to investigate the attitude of Iranian nurses towards DNR orders and determine the role of religious sects in forming attitudes.
MATERIALS AND METHODS
In this descriptive-comparative study, 306 nurses from five hospitals affiliated to Tabriz University of Medical Sciences (TUOMS) in East Azerbaijan Province and three hospitals in Kurdistan province participated. Data were gathered by a survey design on attitudes on DNR orders. Data were analyzed using Statistical Package for Social Sciences (SPSS Inc., Chicago, IL) software examining descriptive and inferential statistics.
RESULTS
Participants showed their willingness to learn more about DNR orders and highlights the importance of respecting patients and their families in DNR orders. In contrast, in many key items participants reported their negative attitude towards DNR orders. There were statistical differences in two items between the attitude of Shiite and Sunni nurses.
CONCLUSIONS
Iranian nurses, regardless of their religious sects, reported negative attitude towards many aspects of DNR orders. It may be possible to change the attitude of Iranian nurses towards DNR through education.
背景
“不要复苏”（DNR）医嘱是临终关怀中诸多具有挑战性的问题之一。以往的研究尚未调查穆斯林护士对DNR医嘱的态度。
目的
本研究旨在调查伊朗护士对DNR医嘱的态度，并确定宗教派别在形成态度方面的作用。
材料与方法
在这项描述性比较研究中，来自东阿塞拜疆省大不里士医科大学（TUOMS）附属的五家医院以及库尔德斯坦省三家医院的306名护士参与其中。通过一项关于DNR医嘱态度的调查设计收集数据。使用社会科学统计软件包（SPSS Inc.，伊利诺伊州芝加哥）对数据进行分析，检验描述性和推断性统计。
结果
参与者表示愿意更多地了解DNR医嘱，并强调在DNR医嘱中尊重患者及其家属的重要性。相比之下，在许多关键项目上，参与者报告了他们对DNR医嘱的消极态度。什叶派和逊尼派护士的态度在两个项目上存在统计学差异。
结论
伊朗护士，无论其宗教派别如何，对DNR医嘱的许多方面都持消极态度。通过教育有可能改变伊朗护士对DNR医嘱的态度。
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