Department of Nursing, The Second Affiliated Hospital Zhejiang University School of Medicine (SAHZU), Hangzhou, Zhejiang Province, PR China; Changxing Branch Hospital of SAHZU, Huzhou, Zhejiang Province, PR China.
Department of Nursing, The Second Affiliated Hospital Zhejiang University School of Medicine (SAHZU), Hangzhou, Zhejiang Province, PR China; Changxing Branch Hospital of SAHZU, Huzhou, Zhejiang Province, PR China.
Geriatr Nurs. 2021 Jul-Aug;42(4):843-849. doi: 10.1016/j.gerinurse.2021.04.021. Epub 2021 Jun 3.
Many terminally ill older adults depend on family members to make medical decisions in China. Many family members find it difficult to make do-not-resuscitate (DNR) decisions in emergency departments (ED). Currently, factors that affect DNR decision making by family members for older adults needing emergency care have not been well studied. This qualitative inquiry explores factors influencing DNR decision-making among family members of terminally ill older adults in ED. Semi-structured in-depth interviews were conducted for a 12-family member of terminally ill older adults at ED in China. Results of the conventional content analysis showed that family members made DNR decisions based on a wide of reasons: (a) subjective perception of family members, (b) conditions of the terminally ill older adults, (c) external environmental factors, and (d) internal family factors. The findings of this study expand our knowledge and understanding of factors influencing DNR decision-making by family members of terminally ill older adults in ED.
许多生命末期的老年患者依赖家庭成员在中国做出医疗决策。许多家庭成员在急诊科（ED）难以做出不复苏（DNR）决策。目前，影响需要紧急护理的老年患者家庭成员做出 DNR 决策的因素尚未得到充分研究。这项定性研究探讨了影响 ED 中生命末期老年患者家庭成员 DNR 决策制定的因素。对中国 ED 中 12 名生命末期老年患者的家庭成员进行了半结构化深入访谈。常规内容分析的结果表明，家庭成员根据广泛的原因做出 DNR 决策：（a）家庭成员的主观感知，（b）生命末期老年患者的状况，（c）外部环境因素，和（d）内部家庭因素。本研究的结果扩展了我们对影响 ED 中生命末期老年患者家庭成员 DNR 决策制定的因素的知识和理解。
