重构并不能恢复受益的护理,只会增加对非CPR命令的接受吗?
Julie L Campbell1, Gina M Piscitello2
1Louis D. Brandeis School of Law, University of Louisville, Louisville, KY.
Chest
|August 30, 2024
概括
将"不复苏" (DNR) 改为"仅受益护理" (BCO) 并没有增加患者接受非CPR命令的情况. 患者对BCO或DNR的偏好仍然相似,这表明术语变化本身可能不会改变终身护理决策.
科学领域:
- 医学伦理 医学伦理
- 抚慰性护理是一种缓解性护理.
- 卫生沟通健康沟通
背景情况:
- 术语"不复苏" (DNR) 命令对生命末期的患者来说可能令人困惑和有争议.
- 患者接受DNR订单可能会受到术语的影响.
研究的目的:
- 检查将DNR命令的标题更改为"仅为有益的护理" (BCO) 是否会增加患者接受度.
- 确定个人是否更愿意放弃完整代码 (FC) 状态,并接受使用BCO术语的无CPR订单.
主要方法:
- 对599名美国成年人进行了横截面调查.
- 参与者被介绍了一个假设的终末期患者场景.
- 一组选择了FC和DNR;另一个选择了FC和BCO.
主要成果:
- 在BCO和DNR订单之间的参与者偏好中没有发现统计学上显著的差异.
- 参与者的社会人口统计特征没有影响对BCO或DNR的偏好.
- 对于DNR和BCO,放弃CPR的原因与BCO相似,BCO还表示CPR是无用的,有益的护理将继续.
结论:
- 将DNR术语改为BCO并没有显著改变患者对放弃心肺复苏的偏好.
- BCO的术语可能更好地传达所有有益的护理将继续提供.
- 进一步的研究可能会探索如何改善关于终身护理决策的沟通.
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