Abdallah Fatima S, Radaeda Mahdy S, Gaghama Maram K, Salameh Basma
Department of Nursing, Birzeit University, Palestine.
Indian J Palliat Care. 2016 Jan-Mar;22(1):38-41. doi: 10.4103/0973-1075.173947.
There is some ambiguity concerning the do-not-resuscitate (DNR) orders in the Arabic world. DNR is an order written by a doctor, approved by the patient or patient surrogate, which instructs health care providers to not do CPR when cardiac or respiratory arrest occurs. Therefore, this research study investigated the attitudes of Intensive Care Unit physicians and nurses on DNR order in Palestine.
A total of 123 males and females from four different hospitals voluntarily participated in this study by signing a consent form; which was approved by the Ethical Committee at Birzeit University and the Ministry of Health. A non-experimental, quantitative, descriptive, and co-relational method was used, the data collection was done by a three page form consisting of the consent form, demographical data, and 24 item-based questionnaire based on a 5-point-Likert scale from strongly agree (score 1) to strongly disagree (score 5).
The Statistical Package for Social Sciences (SPSS) software program version 17.0 was used to analyze the data. Finding showed no significant relationship between culture and opinion regarding the DNR order, but religion did. There was statistical significance difference between the physicians' and nurses' religious beliefs, but there was no correlation. Moreover, a total of 79 (64.3%) physicians and nurses agreed with legalizing the DNR order in Palestine.
There was a positive attitude towards the legalization of the DNR order in Palestine, and culture and religion did not have any affect towards their attitudes regarding the legalization in Palestine.
在阿拉伯世界,关于“不要复苏”(DNR)医嘱存在一些模糊之处。DNR是由医生开具、经患者或患者代理人批准的医嘱,指示医疗服务提供者在心脏或呼吸骤停发生时不进行心肺复苏。因此,本研究调查了巴勒斯坦重症监护病房医生和护士对DNR医嘱的态度。
来自四家不同医院的123名男性和女性通过签署同意书自愿参与本研究;该同意书经比尔宰特大学伦理委员会和卫生部批准。采用非实验性、定量、描述性和相关性方法,通过一份三页的表格收集数据,该表格包括同意书、人口统计学数据以及一份基于5点李克特量表(从强烈同意(得分1)到强烈不同意(得分5))的24项问卷。
使用社会科学统计软件包(SPSS)17.0版对数据进行分析。结果显示,在文化与对DNR医嘱的看法之间没有显著关系,但宗教有。医生和护士的宗教信仰之间存在统计学显著差异,但没有相关性。此外,共有79名(64.3%)医生和护士同意在巴勒斯坦将DNR医嘱合法化。
巴勒斯坦对DNR医嘱合法化持积极态度,文化和宗教对他们在巴勒斯坦关于合法化的态度没有任何影响。