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患者亲属对临终阶段不进行心肺复苏医嘱的态度。

Attitudes of patients' relatives in the end stage of life about do not resuscitate order.

作者信息

Tajari Mozhdeh, Jalali Rostam, Vafaee Kamran

机构信息

Department of Critical Care Nursing, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Department of Nursing, Kermanshah University of Medical Sciences, Kermanshah, Iran.

出版信息

J Family Med Prim Care. 2018 Sep-Oct;7(5):916-920. doi: 10.4103/jfmpc.jfmpc_144_18.

Abstract

INTRODUCTION AND OBJECTIVE

The do not resuscitate (DNR) order is a decision taken by the patient or other people about medical care in the end stages of life to prevent resuscitation from causing cardiac or respiratory arrest. This study was conducted to evaluate the attitudes of patients' relatives in the end stages about DNR order.

MATERIALS AND METHODS

In a cross-sectional study, 150 relatives of patients who had been prescribed DNR orders were included in the educational hospitals affiliated to the Kermanshah University of Medical Sciences. The data collection tool was a researcher-developed questionnaire consisting of 29 attitudes questions related to DNR orders. The data were collected and analyzed in the SPSS software version 19 using descriptive tests.

RESULTS

According to the results of present study, although the relatives of pationts consider doctors thoroughly responsible for making decision related with DNR, and follow their order either way, they strongly disagree with a single doctor making individual decision in this domain. They believe that the patient and their relatives should be engaged in this decision. Although most participants tended to stay as close as possible to the patients and engage in patient care.

CONCLUSION

Given that there are a few studies in Iran on the attitudes of patients and their relatives about DNR, and there are no specific rules and guidelines in this regard. It is recommended that further studies be conducted on the subject. Engaging of patients and families in this important decision is necessary.

摘要

引言与目的

“不要复苏”(DNR)医嘱是患者或其他人就生命末期医疗护理做出的决定,以防止复苏引发心脏或呼吸骤停。本研究旨在评估生命末期患者亲属对DNR医嘱的态度。

材料与方法

在一项横断面研究中,150名开具了DNR医嘱患者的亲属被纳入克尔曼沙赫医科大学附属教学医院。数据收集工具是研究人员编制的一份问卷,包含29个与DNR医嘱相关的态度问题。数据在SPSS 19版软件中收集并使用描述性检验进行分析。

结果

根据本研究结果,尽管患者亲属认为医生完全有责任做出与DNR相关的决定,并无论如何都会遵循医嘱,但他们强烈反对由单一医生在此领域做出个人决定。他们认为患者及其亲属应参与这一决定。尽管大多数参与者倾向于尽可能陪伴患者并参与患者护理。

结论

鉴于伊朗关于患者及其亲属对DNR态度的研究较少,且在这方面没有具体的规则和指南。建议对此主题进行进一步研究。让患者和家属参与这一重要决定是必要的。

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