医生对不复苏 (DNR) 命令的认识和看法:一项全国调查
Sarah Alahmadi1, Mohammed Al Shahrani1, Maan Albehair2
1Department of Emergency Medicine, King Fahad Hospital of the University. Khobar, Saudi Arabia.
Medical archives (Sarajevo, Bosnia and Herzegovina)
|October 25, 2023
概括
医生们都知道不要复苏 (DNR) 的命令,但一半还没有讨论过它们. 缺乏培训和患者理解是DNR实施的关键障碍.
科学领域:
- 医学伦理 医学伦理
- 医疗保健政策 医疗保健政策
- 临床实践 临床实践
背景情况:
- 不复苏 (DNR) 命令随着医疗干预的进步而出现.
- 焦点正在转向死亡患者的生活质量而不是数量.
- 由于不同的观点,医生接受DNR订单的情况有所不同.
研究的目的:
- 评估医生对沙特阿拉伯DNR命令的知识和态度.
- 评估各种医院和专业的DNR订单相关的认识和做法.
主要方法:
- 在沙特阿拉伯和阿拉伯海湾国家 (2019年3月 - 2021年5月) 的医生中进行了一项横截面调查.
- 从409名医生收集的数据,包括人口统计,熟悉DNR,政策讨论和感知障碍.
主要成果:
- 92.7%的医生熟悉DNR命令,但52.6%从未与患者/家属讨论过.
- 缺乏患者/家庭理解 (53.9%) 和培训不足 (65.8%) 被认为是主要障碍.
- 只有38.4%的人已经阅读了DNR制度政策,尽管67.2%的人知道它的存在.
结论:
- 虽然医生知道DNR命令,但在沟通和实际应用方面存在重大差距.
- 障碍包括患者/家庭的误解以及缺乏关于DNR概念的正式培训.
- 需要进一步的教育和政策澄清,以改善DNR命令的执行.
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