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复苏与衰老:患者观点研究

Resuscitation and senility: a study of patients' opinions.

作者信息

Robertson G S

机构信息

Aberdeen Royal Infirmary, Scotland.

出版信息

J Med Ethics. 1993 Jun;19(2):104-7. doi: 10.1136/jme.19.2.104.

DOI:10.1136/jme.19.2.104
PMID:8080470
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1376197/
Abstract

In the context of 'Do-not-resuscitate' (DNR) decisions, there is a lack of information in the UK on the opinions of patients and prospective patients. Written anonymous responses to questionnaires issued to 322 out-patient subjects showed that 97 per cent would opt for cardiopulmonary resuscitation (CPR) in their current state of health. In the hypothetical circumstance of having advanced senile dementia only 10 per cent would definitely want CPR, with 75 per cent preferring not to have CPR. There were no significant correlations between the responses and sex or age. Of 270 patients asked verbally if they found the questions disturbing, none said they did. These findings show that the great majority of patients would not wish CPR if severely senile, and that patients are not disturbed by questions relating to their choice for or against CPR. This should encourage further investigations of patients' opinions on CPR in a broader range of conditions, and greater use of DNR orders.

摘要

在“不要复苏”(DNR)决策的背景下,英国缺乏关于患者及潜在患者意见的信息。对322名门诊受试者发放问卷的书面匿名回复显示,97%的人在当前健康状况下会选择心肺复苏(CPR)。在仅患有晚期老年痴呆症的假设情况下,只有10%的人肯定希望进行心肺复苏,75%的人更倾向于不进行心肺复苏。回复与性别或年龄之间无显著相关性。在270名被口头询问是否觉得问题令人不安的患者中,无人表示有此感受。这些发现表明,绝大多数患者如果处于严重老年状态将不希望进行心肺复苏,并且患者不会因与他们选择接受或拒绝心肺复苏相关的问题而感到不安。这应鼓励在更广泛的情况下进一步调查患者对心肺复苏的意见,并更多地使用DNR医嘱。

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引用本文的文献

1
Discussing cardiopulmonary resuscitation with patients and relatives.与患者及其亲属讨论心肺复苏术。
Postgrad Med J. 1995 Oct;71(840):585-9. doi: 10.1136/pgmj.71.840.585.
2
Resuscitation of demented people.痴呆患者的复苏
J Med Ethics. 1994 Mar;20(1):53. doi: 10.1136/jme.20.1.53.
3
Making an advance directive.制定预先医疗指示。
BMJ. 1995 Jan 28;310(6974):236-8. doi: 10.1136/bmj.310.6974.236.
4
Cardiopulmonary resuscitation in the elderly: patients' and relatives' views.老年人的心肺复苏:患者及亲属的观点
J Med Ethics. 1995 Feb;21(1):39-44. doi: 10.1136/jme.21.1.39.

本文引用的文献

1
Dealing with the brain-damaged old--dignity before sanctity.对待脑损伤老人——尊严先于神圣。
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Cardiopulmonary resuscitation in the aged. A prospective survey.
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Dementia: a systematic approach to identifying reversible causes.痴呆症:识别可逆病因的系统方法。
Geriatrics. 1986 Apr;41(4):30-46.
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Who defines futility?谁来界定无效治疗?
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JAMA. 1988 Oct 14;260(14):2098-101. doi: 10.1001/jama.260.14.2098.
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The do-not-resuscitate order. Still too little too late.不要复苏指令。仍然太少且太晚了。
Arch Intern Med. 1990 May;150(5):1057-60.
10
Resuscitation decisions in a general hospital.综合医院中的复苏决策
BMJ. 1990 Mar 24;300(6727):785. doi: 10.1136/bmj.300.6727.785.