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Knowledge and Attitude of the General Population About Do Not Resuscitate (DNR) in the Western Region, Saudi Arabia
Medhat Taha1, Fatimah Obaid M Aldabali2, Solaf Hilal Alotaibi3
1Department of Anatomy, Al-Qunfudah Medical College, Umm Al-Qura University, Al-Qunfudah, SAU.
Insights
Most people in Saudi Arabia
Area of Science:
- Medical Ethics
- Public Health
- Patient Autonomy
Background:
- A do-not-resuscitate (DNR) order is a physician's directive to withhold cardiopulmonary resuscitation (CPR) for a patient whose breathing or heartbeat has stopped.
- DNR orders specify CPR limitations but do not cover other treatments like nutrition or pain relief.
Purpose of the Study:
- To assess public knowledge and attitudes towards DNR orders in Saudi Arabia's western region.
- To identify potential challenges in managing patients with DNR orders.
Main Methods:
- A 2023 cross-sectional study in western Saudi Arabia utilized an online, self-administered questionnaire.
- Data was collected from 604 participants between April 8 and June 6, 2023.
Main Results:
- Over half (54.3%) of participants had inadequate knowledge of DNR orders.
- 56.8% believed DNR orders are important, with many noting reduced pain and family stress.
- Younger adults (20-30) and healthcare workers demonstrated significantly higher knowledge levels (P=.001).
Conclusions:
- Educational initiatives are recommended to improve public understanding of DNR orders and their implications.
- Enhancing awareness can facilitate better communication and management of patients with DNR preferences.
Background:
A do-not-resuscitate (DNR) order is a medical order issued by a doctor. It directs medical professionals to refrain from performing cardiopulmonary resuscitation (CPR) if a patient's breathing or heartbeat ceases. Patients can refuse CPR in an emergency if they have a DNR order. The DNR order includes precise directives about CPR. Instructions for extra therapies like nourishment, other drugs, or painkillers are not included.
Aim:
The aim of the study is to learn more about the western region's general population's knowledge and attitudes toward DNR orders and identify any challenges that may arise when dealing with DNR patients.
Methodology:
A cross-sectional study was conducted in 2023 in the western region of Saudi Arabia. An online, self-administered questionnaire was distributed randomly from April 8, 2023 to June 6, 2023. The estimated sample size was 384, and 604 were the collected responses.
Results:
A total of 383 (63.4%) participants were females, and 221 (36.6%) were males. Regarding the knowledge and attitude of the general population about DNR orders in the western region of Saudi Arabia, 276 (45.7%) study participants had satisfactory knowledge and awareness, while 328 (54.3%) had inadequate knowledge. A total of 343 (56.8%) participants thought that DNR is important; 255 (42.2%) felt that the DNR has reduced the pain of their relatives, and 181 (30%) believed that it has reduced the stress felt by the patient's families. Of participants aged 20-30 years, 58.4% had satisfactory knowledge about DNR orders compared with those aged 50 and above; 76.1% of healthcare workers had satisfactory knowledge versus 26.5% of unemployed participants (P=.001).
Conclusion:
We recommend increasing awareness and knowledge about DNR by conducting educational events about the concept and how to deal with patients who choose to acquire a DNR order.
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