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題名:護理人員執行不施予心肺復甦術之現況及相關因素之探討
書刊名:安寧療護
作者:吳讚美林惠賢 引用關係賈佩芳蔡玉梅施丞貴謝志松
作者(外文):Wu, Chan-meiLin, Huey-shyanChia, Pei-fangTsai, Yu-meiShy, Cherng-gueihHsieh, Chih-sung
出版日期:2012
卷期:17:2
頁次:頁146-161
主題關鍵詞:不施予心肺復甦術Do-not-resuscitate
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(5) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:73
  • 點閱點閱:46
研究目的:探討臨床護理人員執行「不施予心肺復甦術」(Do Not Resuscitate,DNR)之現況及相關因素。材料與方法:本研究為橫斷式相關性研究設計,以南部某區域教學醫院的臨床護理人員為研究對象。以結構式問卷為研究工具,共發出問卷314份,回收有效問卷250份。所收集之資料除描述性統計外,另進行向前選取之多元羅吉斯迴歸分析。結果:發現年資較深、年齡較長、在急重症單位服務、曾上過安寧課程、死亡課程及其親人有DNR經歷的護理人員,有較多執行DNR的實務經驗。結論:DNR的執行是一項非常實務的臨床經驗,護理人員在現今的醫療環境下雖較處於輔助的角色,仍可期待藉個案照護之經驗分享、角色演練或跨團隊運作的多元教育訓練方式,來提昇臨床護理人員執行DNR的能力。
Research Objective: The purpose of this study was to investigate the current status and the related factors associated with the implementation of medical decision toward ”Do Not Resuscitate (DNR)” among clinical nurses of a regional teaching hospital. Material and Method: This study adopted a cross-sectional correlation study design. The study instrument was a structured questionnaire. A total of 314 questionnaires were distributed, and 250 effective questionnaires returned. The collected data were analyzed by the descriptive statistics and multiple logistic regression analysis with forward selection. Results: The results revealed that those nurses who were more years of work experience, elder, served at emergency room and at intensive care unit, ever hospice educated, ever death educated, and experienced relative's DNR were more likely to the execution of DNR. Conclusion: Although nurses are more in the auxiliary role in health care environment, the implementation of DNR is a practical nursing experience, via multi-disciplinary education programs, such as sharing experience of case nursing, role rehearsal, and cross-team working approach would promote clinical nurses the capability of executing DNR.
Other
1.行政院衛生署死因統計表。  延伸查詢new window
2.陳榮基(2010)。預立遺囑簽署DNR 意願,以預約善終。  延伸查詢new window
3.劉嘉年、楊銘欽。台灣癌症末期病患的安寧療護與照護形式的長期趨勢研究。  延伸查詢new window
4.胡楠英(2009)。癌症住院病患死亡前使用安寧療護與否之醫療費用的比較分析。  延伸查詢new window
5.謝貫仁、湯澡薰、楊銘欽。探討安寧緩和醫療照護所帶來之費用節省與照護品質之提昇。  延伸查詢new window
6.李欣瑜(2010)。生命態度與安寧療護認知。  延伸查詢new window
7.Thibault-Prevost J, Jensen LA, Hodgins M(2000)。Critical care nurses' perceptions of DNR status。  new window
8.鄭夙芬、劉雪娥、方震中、萬國華(2010)。影響急診醫謢人員對安寧緩和條例認知及不施行心肺復甦術態度之因素。  延伸查詢new window
9.Huang YC, Huang SJ, Ko WJ(2010)。Survey of do-not-resuscitate orders in surgical intensive care units。  new window
10.莊紫雲、楊易宏、熊道芬、謝佑珊(2011)。探討加護護理人員照護「不予心肺復甦術」病人的態度及倫理困境。  延伸查詢new window
11.Giles H, Moule P(2004)。Do not attempt resuscition decision-making: a study exploring the attitudes and experiences of nurses。  new window
12.Naess M(2008)。Do not attempt resuscition-orders in ICCUs: A survey of attitudes and experiences of nurses in Norway。  new window
13.Scherer Y, Jezewski MA, Graves B, Wu YW, Bu X(2006)。Advance Directives and End-of-Life Decision Making Survey of Critical Care Nurses’ Knowledge, Attitude, and Experience。  new window
14.Edmond L(2008)。Nurses more confident in their ability to initial DNR discussions than physicians。  new window
15.Ryan D, Jezewski MA(2012)。Knowledge, Attitude, Experience and Confidence of Nurses in Completing Advance Directives: A Systematic Synthesis of Three Studies。  new window
16.汪素敏、顧乃平(2000)。照顧瀕死病人的倫理考量。  延伸查詢new window
17.United States Renal Data System。The concise 2010 Annual Data Report Atlas of Chronic Kidney Disease & End-Stage Renal Disease in the United States。  new window
期刊論文
1.吳讚美、薛爾榮、鍾春櫻、劉慧玲、溫怡然、鐘裕燕(20091100)。癌症死亡病患不施行心肺復甦術簽署情形與是否簽署之相關因素分析。安寧療護,14(3),243-253。new window  延伸查詢new window
2.羅玉岱(20100700)。華人文化對生命末期決策的影響。安寧療護,15(2),187-195。  延伸查詢new window
3.羅健銘、陳素秋、賴允亮、林家瑾、陳建仁(20070800)。住院癌末病患照護型態對住院醫療費用與住院天數之影響。臺灣公共衛生雜誌,26(4),270-282。new window  延伸查詢new window
4.林妙穎、羅月雲、黃秀美、陳鳳裕、謝伶瑜(20101100)。末期腎病病人之預立醫療計畫。安寧療護,15(3),331-341。new window  延伸查詢new window
5.詹美珠、李淑秋、胡瑞桃(20050800)。加護病房護理人員對DNR態度及其照顧病患相關因素探討。安寧療護,10(3),272-285。new window  延伸查詢new window
6.徐翠霞、蕭淑純、孔憲蘭、賴允亮、賴明亮、陳慶餘、曹朝榮、陳榮基、周希諴、黃信彰、莊榮彬(20070500)。2005年臺灣安寧共同照護計畫實施之成效。安寧療護,12(2),129-142。new window  延伸查詢new window
7.吳春桂、蘇玲華、黃勝堅、林芳如、黃美玲、林亞陵、蔡紋苓、林宏茂(20090700)。“DNR”知情告知與決策對於重症生命末期照護之重要性。安寧療護,14(2),172-185。new window  延伸查詢new window
8.林芳如、黃勝堅、吳春桂、黃美玲、林亞陵、蘇玲華、林宏茂(2010)。重症生命末期無效醫療之探討。中華民國急救加護醫學會雜誌,21(5),S1-S8。  延伸查詢new window
9.胡文郁、邱泰源、呂碧鴻、陳慶餘、謝長堯、陳月枝(20010300)。醫護人員對「安寧緩和醫療條例」之教育需求。醫學教育,5(1),21-32。new window  延伸查詢new window
10.翁芝爾、陳淑賢、廖美南、王正旭(20050300)。非安寧病房護理人員對安寧療護知識及態度之初探。長庚護理,16(1)=49,12-22。new window  延伸查詢new window
11.蔡翊新、林亞陵、黃勝堅(20070800)。重症病患之生命末期照護。安寧療護,12(3),312-320。new window  延伸查詢new window
12.Polit, Denise F.、Beck, Cheryl Tatano(2006)。The content validity index: Are you sure you know what's being reported? Critique and recommendations。Research in Nursing and Health,29(5),489-497。  new window
13.Jezewski, M. A.、Finnell, D. S.(1998)。The meaning of DNR status: Oncology nurses’ experiences with patients and families。Cancer Nursing,21(3),212-221。  new window
其他
1.行政院衛生署國民健康局(2005)。國家癌症防治五年計畫,http://nsdn.epa.gov.tw/CH/NEWS/0709.pdf。  延伸查詢new window
 
 
 
 
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