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老年患者对生命维持治疗的偏好。

Elderly patients' preferences concerning life-support treatment.

作者信息

Heap M J, Munglani R, Klinck J R, Males A G

机构信息

Department of Anaesthesia, Norfolk and Norwich Hospital.

出版信息

Anaesthesia. 1993 Dec;48(12):1027-33. doi: 10.1111/j.1365-2044.1993.tb07519.x.

Abstract

The preferences of 118 elderly patients, aged from 70 to 97 years, concerning the institution of artificial ventilation in the event of an overwhelming illness, were investigated using a questionnaire. Most patients wanted treatment if the outcome was likely to be good, but in approximately half, the desire for treatment declined as anticipated quality of life or chances of recovery fell. Forty percent wanted to make the decision about institution of artificial ventilation themselves if mentally competent and 24% wanted to use some form of advance directive if mentally incompetent.

摘要

采用问卷调查的方式,对118名年龄在70岁至97岁之间的老年患者在身患重病时对于实施人工通气的偏好进行了调查。大多数患者希望在预后可能良好的情况下接受治疗,但约有一半患者,随着预期生活质量或康复几率的下降,其接受治疗的意愿也随之降低。40%的患者希望在精神状况良好时自行决定是否实施人工通气,24%的患者希望在精神状况不佳时采用某种形式的预先指示。

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