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來源文獻資料
摘要
外文摘要
引文資料
題名:
不施行心肺復甦術與接受自然死亡:影響決策的標題與說明
書刊名:
安寧療護
作者:
鄭秦妮
/
謝至鎠
/
王英偉
/
范聖育
作者(外文):
Tang, Chyn-ni
/
Hsieh, Jyh-gang
/
Wang, Ying-wei
/
Fan, Sheng-yu
出版日期:
2015
卷期:
20:1
頁次:
頁1-12
主題關鍵詞:
心肺復甦術
;
不施行心肺復甦術
;
接受自然死亡
;
生命末期照顧
;
溝通
;
Cardiopulmonary resuscitation
;
CPR
;
Do-Not-Resuscitate
;
DNR
;
Allow natural death
;
AND
;
End-of-Life care
;
Communication
原始連結:
連回原系統網址
相關次數:
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:
5
共同引用:
7
點閱:12
研究目的:臨終時是否要接受心肺復甦術為一重要決定,會受到醫病溝通的影響。而強調接受自然死亡的名稱被許多國家採用。研究目的為探索:(1)對於臨終拒絕接受心肺復甦術的看法;(2)不同的標題與說明內容對於簽署機率的影響;(3)不同年紀、疾病階段、與親屬關係對簽署機率的影響。研究方法:招募608位志工,平均年紀為53.68歲(SD=16.55)。使用問卷調查,並設計臨床腳本,設計不同的標題、說明內容、年紀、疾病階段與親屬關係,在不同條件下的壓力感受與簽署機率。結果:64.39%認為應在健康時討論,97.67%願意參與討論,51.04%認為應由自己與家人共同決定。接受自然死亡標題的壓力感受小於不施行心肺復甦術(t=-7.49, p < .001);說明目的、傷害與可能成效的簽署機率大於僅說明末期疾病(F=4.31, p=.005);病人年紀越大(F=80.74, p< .001)、末期疾病(F=157.51, p < .001)的簽署機率越高。配偶與成年子女為最重要的決定家屬(F=410.72, p < .001)。結論:在溝通上可強調接受自然死亡、善終好走,並提供足夠的資訊以協助病人與家屬進行臨終時是否要接受心肺復甦術的決策。
以文找文
Purpose: Receiving cardiopulmonary resuscitation (CPR) when dying is an important decision, which are influenced by physician-patient communication. The aims of this study were to explore: (1) the opinions of Do-Not-Resuscitate (DNR), (2) the effect of different titles and information contents on DNR decision, and (3) the effects of different ages, disease stages, and relationships with patients on DNR decision. Methods: There were 608 participants and mean age was 53.68 (SD = 16.55). A survey with different scenarios was presented, including different titles, information contents, ages, disease stages, and relationships with patients. Results: 64.39% of the participants agreed to discuss when healthy, and 97.67% wanted to participate the discussion, and 51.04% would make decision with families. The stress feeling in allow natural death was less than DNR (t = -7.49, p < .001); the probability of signing DNR was significantly higher in full information with consequences and effect than only terminal disease (F = 4.31, p = .005); as well as patients with older age (F = 80.74, p < .001) and terminal stage (F = 157.51, p < .001). In addition, spouse and children were the most important relatives when deciding (F = 410.72, p < .001). Conclusions: addressing natural death and good dying, as well as providing sufficient information can help patients and families make the DNR decision.
以文找文
期刊論文
1.
High, D. M.(1993)。Why are elderly people not using advance directives?。J Aging Health,5(4),497-515。
2.
Chao, C. S.(1997)。The meaning of a good death for terminally ill cancer patients in Taiwan。J Nursing,44(1),48-55。
3.
Huang, Yu-chen、Huang, Sheng-jean、Ko, Wen-je(20100300)。Survey of Do-not-resuscitate Orders in Surgical Intensive Care Units。Journal of the Formosan Medical Association,109(3),201-208。
4.
Lo, Y. T.、Wang, J. J.、Liu, L. F.、Wang, C. N.(2010)。Prevalence and related factors of do-not-resuscitate directives among nursing home residents in Taiwan。Journal of the American Medical Directors Association,11(6),436-442。
5.
Lu, C. Y.、Johantgen, M.(2011)。Factors associated with treatment restriction orders and hospice in older nursing home residents。J Clin Nurs,20(3/4),377-387。
6.
Hickman, S. E.、Tolle, S. W.、Brummel-Smith, K.、Carley, M. M.(2004)。Use of the physician orders for life-sustaining treatment program in Oregon nursing facilities: Beyond resuscitation status。J Am Geriatr Soc,52(9),1424-1429。
7.
Levy, C. R.、Fish, R.、Kramer, A.(2005)。Do-not-resuscitate and do-not-hospitalize directives of persons admitted to skilled nursing facilities under the medicare benefit。Journal of the American Geriatrics Society,53(12),2060-2068。
8.
Liu, J. M.、Lin, W. C.、Chen, Y. M.、Wu, H. W.、Yao, N. S.、Chen, L. T.、Whang-Peng, J.(1999)。The status of the do-not-resuscitate order in Chinese clinical trial patients in a cancer centre。Journal of Medical Ethics,25(4),309-314。
9.
Murphy, D. J.、Burrows, D.、Santilli, S.(1994)。The influence of the probability of survival on patients' preferences regarding cardiopulmonary resuscitation。NEJM,330(8),545-549。
10.
Covinsky, K. E.、Fuller, J. D.、Yaffe, K.(2000)。Communication and decision-making in seriously ill patients: findings of the SUPPORT project. The study to understand prognosis and preferences for outcomes and risks of treatments。J Am Geriatr Soc,48(5 Suppl.),187-193。
11.
Owen, C.、Tennant, C.、Levi, J.、Jones, M.(1994)。Resuscitation in cancer: Comparison of patient and health staff preferences。Gen Hosp Psychiatry,16(4),277-285。
12.
Ebell, M. H.、Smith, M. A.、Seifert, G.、Polsinelli, K.(1990)。The do-not-resuscitate order: outpatient experience and decision-making preferences。JFamPract,31(6),630-634。
13.
Olver, I.、Eliott, J. A.(2008)。The perceptions of do-not -resuscitate policies of dying patients with cancer。Psychooncology,17(4),347-353。
14.
Whitcomb, J. J.、Ewing, N.(2012)。A closing word: do not resuscitate versus allow natural death and should we change our approach。Dimensions of Critical Care Nursing,31(4),265-266。
15.
Venneman, S. S.、Namor-Harris, P.、Perish, M.、Hamilton, M.(2008)。"Allow natural death" versus "do not resuscitate": three words that can change a life。J Med Ethics,34(1),2-6。
16.
Wittmann-Price, R.、Celia, L. M.(2010)。Exploring perceptions of "do not resuscitate" and "allowing natural death" among physicians and nurses。Holist Nurs Pract,24(6),333-337。
17.
Chen, Y. Y.、Youngner, S. J.(2008)。"Allow natural death" is not equivalent to,’ do not resuscitate": a response。J Med Ethics,34(12),887-888。
18.
Malloy, T. R.、Wigton, R. S.、Meeske, J.、Tape, T. G.(1992)。The influence of treatment descriptions on advance medical directive decisions。J Am Geriatr Soc,40(12),1255-1260。
19.
Schonwetter, R. S.、Walker, R. M.、Kramer, D. R.、Robinson, B. E.(1993)。Resuscitation decision making in the elderly: The value of outcome data。J Gen Intern Med,8(6),295-300。
20.
Huang, Chien-Hsun、Hu, Wen-Yu、Chiu, Tai-Yuan、Chen, Ching-Yu(2008)。The practicalities of terminally ill patients signing their own DNR orders: a study in Taiwan。Journal of Medical Ethics,34(5),336-340。
21.
張惠雯、顏啟華、林鵬展、劉立凡(20111100)。病人對預立醫囑的看法--以彰化某醫院家庭醫學科門診病人為例。安寧療護,16(3),296-311。
延伸查詢
其他
1.
安寧照顧協會(20150131)。拒無效急救26萬人健保卡註意願,http://udn.eom/news/story/9/642993。
延伸查詢
2.
Meyer C.(2013)。New designation for allowing a natural death (MANDM) would eliminate confusion and suffering when patients are resuscitated against their wishes,http://www.hospicepatients.org/and.html, 2013/02/01。
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