Koşar Ismet, Akdeniz Melahat, Kavukcu Ethem, Avci Hasan Huseyin
Akdeniz University, Antalya, Turkey.
Gerontol Geriatr Med. 2020 Jan 24;6:2333721420901902. doi: 10.1177/2333721420901902. eCollection 2020 Jan-Dec.
The aim of this study is to draw attention to the subject of "advanced directives," to create awareness, whether or not they want to investigate to determine the preferences for medical care and applications in the period of end-of-life while individuals can specify their preferences and wishes for medical decisions and take steps for it. The study was carried out on individuals aged 20 years and older in family medicine outpatient clinics. A questionnaire consisting of 30 questions was applied to 300 people who volunteered to participate in the study by a face-to-face interview. Of all participants, 70% had not heard of advance directives (ADs) before this survey. Three quarters of participants thought that advanced directives were necessary. The rate of requesting cardiopulmonary resuscitation (CPR) to prolong survival in the case of end-of-life care was 55%; the rate of requesting the continuation of life-sustaining treatment was 24%. Most participants want their own decision to be taken into account in end-of-life care. Family physicians should talk to their patients about ADs via effective communication when people are still healthy.
本研究的目的是引起人们对“预立医疗指示”这一主题的关注，提高意识，让人们了解无论是否愿意，都可以在生命末期调查确定医疗护理和应用的偏好，同时个人可以明确其对医疗决策的偏好和愿望并为此采取措施。该研究在家庭医学门诊诊所对20岁及以上的个体进行。通过面对面访谈，向300名自愿参与研究的人发放了一份由30个问题组成的问卷。在所有参与者中，70%在本次调查之前从未听说过预立医疗指示（ADs）。四分之三的参与者认为预立医疗指示是必要的。在临终护理情况下要求进行心肺复苏（CPR）以延长生存期的比例为55%；要求继续维持生命治疗的比例为24%。大多数参与者希望在临终护理中考虑他们自己的决定。当人们还健康时，家庭医生应该通过有效的沟通与患者谈论预立医疗指示。
