Alsaati Bashaer Abdulrahim, Aljishi Maram Nader, Alshamakh Sunds Salah, Banjar Nujood Salah, Basharaheel Hadeel Ahmed, Alamri Rawan Saleh
Department of Medical Students, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Indian J Palliat Care. 2019 Oct-Dec;25(4):544-549. doi: 10.4103/IJPC.IJPC_78_19.
Do not resuscitate (DNR) is a medical procedure for patients who are suffering from critical, untreatable, and irreversible disease where the patient's life is predicted to end. DNR is considered a sensitive decision for patients and their relatives, as well as physicians.
This study is aimed to assess the knowledge and attitude of medical students and interns toward the DNR order and the factors affecting their attitude at the King Abdulaziz University Hospital (KAUH) in Jeddah.
Nonintervention cross-sectional study was conducted among 429 medical students (preclinical and clinical years) and interns who were given an online questionnaire between May and June in 2016 at KAUH in 18 Kingdom of Saudi Arabia.
Our study indicates that most of the participants (73.2%) were familiar with DNR order; however, more than half of them (58.3%) did not take any lecture or session on DNR. Large proportion of medical students had the opinion that attending a lecture or session on DNR would help them discuss it more skillfully with the patients and their relatives. More than half of the participants (55%) believed that there is a Fatwa that regulates DNR on the Islamic level.
Participants, who were interns, were more familiar with the term DNR, whereas the 2nd-year medical students were less familiar with DNR. Considering the variation in the knowledge of participants about DNR, we conclude that additional lectures and sessions about DNR should be added to the medical school curriculum to make the students more confident and able in handling the DNR discussions.
“不要复苏”(DNR)是针对患有严重、无法治疗且不可逆转疾病、预计生命即将结束的患者的一种医疗程序。对于患者及其亲属以及医生而言,DNR被视为一项敏感的决定。
本研究旨在评估吉达阿卜杜勒阿齐兹国王大学医院(KAUH)的医学生和实习生对DNR医嘱的知识和态度,以及影响他们态度的因素。
2016年5月至6月期间,在沙特阿拉伯王国18个地区的KAUH对429名医学生(临床前和临床阶段)和实习生进行了非干预性横断面研究,他们被给予了一份在线问卷。
我们的研究表明,大多数参与者(73.2%)熟悉DNR医嘱;然而,其中超过一半(58.3%)没有参加过任何关于DNR的讲座或课程。很大一部分医学生认为参加关于DNR的讲座或课程将有助于他们更熟练地与患者及其亲属讨论该问题。超过一半的参与者(55%)认为在伊斯兰教层面有一项法特瓦规范DNR。
作为实习生的参与者对DNR这个术语更熟悉,而二年级医学生对DNR不太熟悉。考虑到参与者对DNR知识的差异,我们得出结论,医学院课程应增加关于DNR的额外讲座和课程,以使学生在处理DNR讨论时更有信心和能力。