Qutob Rayan Abubakker, Aljarba Najd Khalid, Alhusaini Bassam Abdulaziz, Alzaid Omar Nasser, Alghamdi Abdullah Hussien, Alaryni Abdullah Abdulaziz, Bukhari Abdullah Ibraheem, Alburakan Ahmed, Alanazi Abdulrahman Mohammed, Alsolamy Eysa Nahar, Alfozan Omar Abdulaziz, Alzmamy Saad Abdullah, Ababtain Abdalmohsen A, Elhazmi Alyaa, Hakami Osamah A
College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11432, Saudi Arabia.
Department of Surgery, College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia.
Healthcare (Basel). 2023 Jul 20;11(14):2073. doi: 10.3390/healthcare11142073.
In the event of cardiac arrest, cardiopulmonary resuscitation (CPR) is an emergency procedure used to maintain the heart and lungs functional simultaneously. The do-not-resuscitate (DNR) order prohibits CPR and is therefore legally required. Despite this, a DNR remains a delicate and contentious issue that places physicians in morally ambiguous situations. This study aimed to assess Saudi citizens' understanding of DNR orders, prior exposure to them, and preferences for DNR conversations.
This was an online cross-sectional study that was conducted between January and April 2023 and aimed to assess the knowledge regarding DNR orders among Saudi populations. This study adapted a previously developed questionnaire tool by Al Ahmadi et al., which examined the knowledge and attitude toward do-not-resuscitate among patients and their relatives visiting outpatient clinics. Binary logistic regression analysis was the mean knowledge score for the study participants.
A total of 920 participants were involved in this study. Almost half of the study participants (49.6%) reported that they had heard of DNR before. The most commonly reported source of their information on DNR was healthcare providers (58.2%). The mean knowledge score of the study participants was 1.9 (1.3) out of 6, which is equal to 31.7% of the total maximum score. This demonstrates the weak level of knowledge about DNR among the general public. Females, divorced, and those who had a post-graduate level of education were more likely to be knowledgeable of DNR compared to others ( < 0.05). Around one-quarter of the study participants showed agreement with DNR. More than half of them (59.5%) believe that physicians should be involved in DNR decision making.
Saudi Arabia's general community has limited knowledge of DNR. It is recommended that healthcare professionals increase patients' and caregivers' understanding of this concept. This will improve the planning and the provision of end-of-life care.
在心脏骤停的情况下，心肺复苏（CPR）是一种用于同时维持心脏和肺部功能的急救程序。不要复苏（DNR）医嘱禁止进行心肺复苏，因此是法律要求。尽管如此，DNR医嘱仍然是一个微妙且有争议的问题，使医生处于道德模糊的境地。本研究旨在评估沙特公民对DNR医嘱的理解、之前对其的接触情况以及对DNR相关谈话的偏好。
这是一项于2023年1月至4月进行的在线横断面研究，旨在评估沙特人群对DNR医嘱的了解情况。本研究采用了Al Ahmadi等人先前开发的问卷工具，该工具调查了前往门诊就诊的患者及其亲属对不要复苏的知识和态度。二元逻辑回归分析是研究参与者的平均知识得分。
共有920名参与者参与了本研究。几乎一半的研究参与者（49.6%）报告称他们之前听说过DNR。他们最常报告的DNR信息来源是医疗保健提供者（58.2%）。研究参与者的平均知识得分为6分中的1.9（1.3）分，占总分最大值的31.7%。这表明公众对DNR的了解程度较低。与其他人相比，女性、离异者以及具有研究生学历的人更有可能了解DNR（<0.05）。约四分之一的研究参与者表示同意DNR。其中超过一半（59.5%）的人认为医生应参与DNR决策。
沙特阿拉伯普通民众对DNR的了解有限。建议医疗保健专业人员提高患者及其护理人员对这一概念的理解。这将改善临终护理的规划和提供。
