Puc Jure, Obadić Petra, Erčulj Vanja, Borovečki Ana, Grosek Štefan
University of Ljubljana, Faculty of Medicine, Vrazov trg 2, 1000 Ljubljana, Slovenia.
University of Zagreb, School of Medicine, Šalata ulica 2, 10000 Zagreb, Croatia.
Zdr Varst. 2019 Jun 26;58(3):139-147. doi: 10.2478/sjph-2019-0018. eCollection 2019 Sep.
To survey university students on their views concerning the respect for autonomy of patients and the best interest of patients in relation to the withholding of resuscitation.
A cross-sectional survey among university students of medicine, nursing, philosophy, law and theology of the first and the final study years at the University of Ljubljana and the University of Zagreb was conducted during the academic year of 2016/2017. A questionnaire constructed by Janiver et al. presenting clinical case vignettes was used.
The survey response rates for students in Ljubljana and Zagreb were 45.4% (512 students) and 37.9% (812 students), respectively. The results of our research show statistically significant differences in do-not resuscitate decisions in different cases between medical and non-medical students in both countries. Male and religious students in both countries have lower odds of respecting relatives' wishes for the withholding of resuscitation (odds ratio 0.49-0.54; 95% confidence interval). All students agreed that they would first resuscitate children if they had to prioritize among patients.
Our study clearly shows that gender, religious beliefs, and type of study are important factors associated with the decisions pertaining to the respect for autonomy, patient's best interest, and initiation or withholding of resuscitation.
就大学生对在放弃心肺复苏方面尊重患者自主性和患者最佳利益的看法展开调查。
在2016/2017学年对卢布尔雅那大学和萨格勒布大学医学、护理、哲学、法律及神学专业大一和大四的学生进行了横断面调查。采用了由贾尼弗等人编制的呈现临床病例 vignettes 的问卷。
卢布尔雅那和萨格勒布学生的调查回复率分别为45.4%（512名学生）和37.9%（812名学生）。我们的研究结果显示，两国医学生和非医学生在不同病例中关于不进行心肺复苏的决定存在统计学上的显著差异。两国的男性学生和有宗教信仰的学生尊重亲属放弃心肺复苏意愿的几率较低（优势比0.49 - 0.54；95%置信区间）。所有学生都同意，如果必须在患者中进行优先级排序，他们会首先对儿童进行心肺复苏。
我们的研究清楚地表明，性别、宗教信仰和专业类型是与尊重自主性、患者最佳利益以及启动或放弃心肺复苏的决定相关的重要因素。
