Perry S W, Schwartz H I, Amchin J
Gen Hosp Psychiatry. 1986 May;8(3):198-202. doi: 10.1016/0163-8343(86)90080-0.
Regarding the determination of resuscitation status (RS) and the writing of do-not-resuscitate orders, we compared the recent Presidential Guidelines with the attitudes and perceptions of 143 medical professionals in a major medical center. Seventy-four percent of respondents believed that RS was primarily determined by the physician. Only 1% believed the patient decides and a minority (40%) believed the patient should decide; 61% would want to decide for themselves if they were ill. Most respondents agreed that neither patients nor staff were well-informed about the individual patient's RS. When presented case vignettes requiring a decision about RS, the respondents frequently chose a RS contrary to the wishes of a competent patient. The findings of this survey point to the significant differences between the Presidential Commission's guidelines and the actual attitudes and perceived practices of clinicians.
关于复苏状态（RS）的判定及“不要复苏”医嘱的开具，我们将近期的总统指南与一家大型医疗中心143名医学专业人员的态度和看法进行了比较。74%的受访者认为RS主要由医生决定。只有1%的人认为由患者决定，少数人（40%）认为患者应该参与决定；61%的人表示如果自己生病，希望自己做决定。大多数受访者同意，患者和工作人员对个体患者的RS了解都不足。当给出需要对RS做出决定的病例 vignettes时，受访者经常选择与有行为能力患者的意愿相悖的RS。这项调查结果表明总统委员会的指南与临床医生的实际态度和认知做法之间存在显著差异。
