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如果你心脏骤停,你希望被复苏吗?医院环境中的医疗状态讨论

[Would you want to be resuscitated if you heart stops Code status discussions in the hospital setting].

作者信息

Richtering Sarah Samantha, Darbellay Farhoumand Pauline, Escher Monica

机构信息

Service de médecine interne générale, Département de médecine interne, de réhabilitation et de gériatrie, HUG, 1211 Genève 14.

Equipe mobile douleur et soins palliatifs, Service de pharmacologie et toxicologie cliniques, Département d'anesthésiologie, pharmacologie et soins intensifs, HUG, 1211 Genève 14.

出版信息

Rev Med Suisse. 2018 Oct 17;14(623):1854-1858.

Abstract

Doctors are responsible for code status discussions with patients in the hospital setting. However, several barriers are associated with these discussions, relating to both doctors and patients. Inadequate or insufficient communication can lead to inappropriate care, contrary to patients' preferences and, subsequently, to a suboptimal use of health care resources. Ways to improve these discussions have been identified, such as doctor-targeted educational programs and inserting decisions about code status within a more general discussion of patients' goals of care. These interventions could allow a better understanding and consideration of patients' values and preferences, hence improving shared-decision making about cardiopulmonary resuscitation.

摘要

在医院环境中,医生负责与患者讨论治疗意愿。然而,这些讨论存在一些与医生和患者都相关的障碍。沟通不足或不充分可能导致不适当的治疗,与患者的偏好相悖,进而导致医疗资源利用不优化。已经确定了改善这些讨论的方法,例如针对医生的教育项目,以及在更广泛的患者护理目标讨论中纳入关于治疗意愿的决定。这些干预措施可以使患者的价值观和偏好得到更好的理解和考虑,从而改善关于心肺复苏的共同决策。

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