公众对实施DNAR的态度以及波兰对儿科DNAR的立场-一项前性调查研究
Dariusz Timler1, Joanna Kempa2, Remigiusz Kozłowski3
1Emergency Medicine and Disaster Medicine Department, Medical University of Lodz, 90-419 Lodz, Poland.
Journal of clinical medicine
|March 28, 2024
概括
大多数波兰人支持引入不尝试复苏 (DNAR) 文件,但对儿科DNAR犹不决. 公众对儿科DNAR的接受度随着父母和医生的同意而增加,这表明了立法实施的途径.
科学领域:
- 医学伦理 医学伦理
- 公共卫生政策 公共卫生政策
- 患者的自主权 患者的自主权
背景情况:
- 不尝试复苏 (DNAR) 命令是允许患者拒绝复苏的法律文件.
- 目前,DNAR在波兰没有受到法律监管.
- 了解公众的看法对于潜在的立法变化至关重要.
研究的目的:
- 评估波兰公众对DNAR的认识和态度.
- 评估人们对儿科DNAR的看法.
- 为DNAR实施的潜在政策制定提供信息.
主要方法:
- 从2014年到2018年,在波兰各个地区进行了一项匿名调查.
- 采用雪球采样方法来达到多样化的受访者群体.
- 该调查包括关于DNAR和儿科DNAR的认识和意见的问题.
主要成果:
- 在1049名受访者中,有82%的人支持引入DNAR,但78%的人认为这并不紧迫.
- 46%的人最初认为DNAR只适用于成年人.
- 当引入父母和医生同意等条件 (23%-45%) 时,对儿科DNAR的支持显著增加.
结论:
- 对一般DNAR的支持并不自动扩展到儿科DNAR.
- 医疗领域以外的个人对DNAR表示更大的不情愿.
- 为儿科DNAR建立明确的同意边界可以促进立法采用.
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