维持生命治疗决策的特征:韩国国家数据分析
Jiyeon Choi1, Heejung Jeon2, Ilhak Lee3
1Division of Medical Law and Ethics, Department of Medical Humanities and Social Sciences, College of Medicine, Yonsei University, Seoul, Republic of Korea.
Asian bioethics review
|January 12, 2024
概括
韩国 韩国 韩国 韩国
科学领域:
- 医学伦理 医学伦理
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
背景情况:
- 生命维持治疗 (LSTD) 的决定在终身护理中至关重要.
- 了解韩国的决策过程对于改善患者护理至关重要.
- 之前的研究并没有完全阐明基于决策方法的LSTD特征.
研究的目的:
- 分析2018-2020年韩国LSTD的国家数据.
- 根据决策方法和过程来描述生命周期结束的程序.
- 确定影响LSTD患者自决的因素.
主要方法:
- 分析了在国家维持生命治疗管理机构注册的84,422名患者的全国数据.
- 根据决策方法 (G1-G4) 将患者分为四组.
- 描述性分析和逻辑回归分析比较自决 (G1,G2) 和非自决 (G3,G4) 患者.
主要成果:
- 在所有组中,癌症是最常见的诊断.
- 从LSTD决定到实施的时间因组而异 (0.86至10.76天).
- 在LSTD的自我决定在40-49岁的人群中较高,在心血管和胃肠道疾病中较低. 年龄较大与家庭主导的决策相关.
结论:
- 年龄显著影响LSTD,老年患者更有可能有家庭主导的决策.
- 疾病类型影响LSTD,与瘤疾病相比,循环和消化系统疾病的自我决定率较低.
- 决策过程和患者特征对于有效的终身护理规划至关重要.
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