哪些因素会影响患者对心肺复苏的偏好？
What factors influence patient preferences regarding cardiopulmonary resuscitation?
作者信息
Mead G E, O'Keeffe S T, Jack C I, Maèstri-Banks A M, Playfer J R, Lye M
机构信息
Department of Vascular Surgery and Geriatric Medicine, University Hospital of South Manchester.
出版信息
J R Coll Physicians Lond. 1995 Jul-Aug;29(4):295-8.
The aims of this study were to investigate the impact of medical and non-medical factors on the cardiopulmonary resuscitation (CPR) preferences of patients, to determine which of them are the most important to patients when considering CPR, and to compare the views of older (> or = 70 years) and younger (< 70 years) patients. We interviewed 180 patients, 86 of whom were aged 70 years or older. 'I do not want to be a burden on my family' was the most important factor for older patients, and they were more ready to leave the decision to the doctor than were the younger patients. 'I want to retain my capacity to think clearly' was most important to younger patients. In general, younger patients gave higher ratings in favour of CPR than older patients. Increased age, drug abuse, dementia, pain, poor functional status and a low likelihood of success were associated with a lower preference rating for CPR in both age groups.
本研究的目的是调查医学和非医学因素对患者心肺复苏（CPR）偏好的影响，确定在考虑心肺复苏时哪些因素对患者最为重要，并比较老年（≥70岁）和年轻（<70岁）患者的观点。我们采访了180名患者，其中86名年龄在70岁及以上。“我不想成为家人的负担”是老年患者最重要的因素，与年轻患者相比，他们更愿意将决定权留给医生。“我想保持清晰的思考能力”对年轻患者最为重要。总体而言，年轻患者对心肺复苏的支持评分高于老年患者。在两个年龄组中，年龄增长、药物滥用、痴呆、疼痛、功能状态差和成功可能性低都与较低的心肺复苏偏好评分相关。
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