不进行心肺复苏医嘱：伊朗心肺复苏团队成员的经历
Do-not-resuscitate Order: The Experiences of Iranian Cardiopulmonary Resuscitation Team Members.
作者信息
Assarroudi Abdolghader, Heshmati Nabavi Fatemeh, Ebadi Abbas, Esmaily Habibollah
机构信息
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Science, Mashhad, Iran.
Department of Nursing Management, Evidence Based Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
出版信息
Indian J Palliat Care. 2017 Jan-Mar;23(1):88-92. doi: 10.4103/0973-1075.197946.
BACKGROUND
One dilemma in the end-of-life care is making decisions for conducting cardiopulmonary resuscitation (CPR). This dilemma is perceived in different ways due to the influence of culture and religion. This study aimed to understand the experiences of CPR team members about the do-not-resuscitate order.
METHODS
CPR team members were interviewed, and data were analyzed using a conventional content analysis method.
RESULTS
Three categories and six subcategories emerged: "The dilemma between revival and suffering" with the subcategories of "revival likelihood" and "death as a cause for comfort;" "conflicting situation" with the subcategories of "latent decision" and "ambivalent order;" and "low-quality CPR" with the subcategories of "team member demotivation" and "disrupting CPR performance."
CONCLUSION
There is a need for the development of a contextual guideline, which is required for respecting the rights of patients and their families and providing legal support to health-care professionals during CPR.
背景
临终护理中的一个困境是做出实施心肺复苏（CPR）的决策。由于文化和宗教的影响，这种困境被人们以不同的方式感知。本研究旨在了解心肺复苏团队成员对“不进行心肺复苏”医嘱的体验。
方法
对心肺复苏团队成员进行访谈，并使用传统内容分析法对数据进行分析。
结果
出现了三个类别和六个子类别：“复苏与痛苦之间的困境”，其子类别为“复苏可能性”和“死亡带来慰藉”；“冲突情况”，其子类别为“潜在决策”和“矛盾医嘱”；以及“低质量心肺复苏”，其子类别为“团队成员积极性受挫”和“干扰心肺复苏操作”。
结论
需要制定一个情境指南，这对于尊重患者及其家属的权利以及在心肺复苏期间为医护人员提供法律支持是必要的。
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