Lee Haeyoung, Choi Seung-Hye
Red Cross College of Nursing, Chung-Ang University, Seoul 06974, Korea.
College of Nursing, Gachon University, Incheon 21936, Korea.
Healthcare (Basel). 2021 Jan 5;9(1):40. doi: 10.3390/healthcare9010040.
The objective of this study was to investigate the factors affecting the quality of dying and death among terminally ill patients in an intensive care unit in Korea using a cross-sectional, online survey. A total of 300 nurses in the intensive care unit who had cared for a terminally ill patient for at least 48 h prior to death in the past six months were chosen to participate. The person-centered critical care nursing (PCCN) score and quality of dying and death (QODD) had a positive correlation. The QODD score increased when the consultation was conducted between the terminally ill patients and their doctors when CPR was not performed within 48 h of death, and when the PCCN score increased. The quality of death of patients is affected by whether they have sufficiently consulted with healthcare providers regarding their death and how much respect they receive. It is important for nurses to practice and improve patient-centered nursing care in order to ensure a good quality of death for terminally ill patients.
本研究的目的是通过横断面在线调查，探讨影响韩国一家重症监护病房中晚期患者死亡质量的因素。选取了在过去六个月中曾在重症监护病房护理过晚期患者至少48小时直至其死亡的300名护士参与调查。以患者为中心的重症护理（PCCN）评分与死亡质量（QODD）呈正相关。当晚期患者与其医生进行了会诊、死亡前48小时内未进行心肺复苏以及PCCN评分增加时，QODD评分会升高。患者的死亡质量受其是否就死亡问题与医疗服务提供者进行了充分咨询以及他们得到了多少尊重的影响。护士践行并改进以患者为中心的护理对于确保晚期患者良好的死亡质量很重要。
