연명치료중단에 관한 중환자실간호사, 의사 및 중환자가족의 태도 및 인식
Attitudes and Awareness towards the Withdrawal of Life-Sustaining Treatment among Nurses, Physicians, and Families of Intensive Care Unit Patients
0
조회
0
다운로드
31
인용
0
참고문헌
키워드
초록
Purpose: This study was aimed to investigate the awareness and attitudes towards withdrawal of the life-sustaining treatment among nurses, physicians, and the families of intensive care unit (ICU) patients in general hospitals. Methods: The data were collected using a questionnaire from 80 ICU nurses, 80 physicians, and 80 families of ICU patients in general hospitals. Data were collected from February 22nd to May 31st, 2010. Rusults: ICU nurses, physicians, and families of ICU patients felt that objective and ethical guidelines were needed in making a decision to withdraw the life-sustaining treatment. The main reason for withdrawal of the life-sustaining treatment was found that the patients could not recovered despite many efforts. The role of nurses in decision making process on withdrawal of the life-sustaining treatment was considered very positive from the view of physicians and family members. The most important role of nurses for those patients in ICU was found to try their best to care for the patients. Conclusion: ICU nurses should play a major coordinating role in communication among patients, their families, and medical teams. Also, an appropriate roles of nurses in the process of the withdrawal of the life-sustaining treatment should be established.
Abstract
Purpose: This study was aimed to investigate the awareness and attitudes towards withdrawal of the life-sustaining treatment among nurses, physicians, and the families of intensive care unit (ICU) patients in general hospitals. Methods: The data were collected using a questionnaire from 80 ICU nurses, 80 physicians, and 80 families of ICU patients in general hospitals. Data were collected from February 22nd to May 31st, 2010. Rusults: ICU nurses, physicians, and families of ICU patients felt that objective and ethical guidelines were needed in making a decision to withdraw the life-sustaining treatment. The main reason for withdrawal of the life-sustaining treatment was found that the patients could not recovered despite many efforts. The role of nurses in decision making process on withdrawal of the life-sustaining treatment was considered very positive from the view of physicians and family members. The most important role of nurses for those patients in ICU was found to try their best to care for the patients. Conclusion: ICU nurses should play a major coordinating role in communication among patients, their families, and medical teams. Also, an appropriate roles of nurses in the process of the withdrawal of the life-sustaining treatment should be established.
참고문헌 (28)
- 강현임, "심폐소생술금지(DNR)에 대한 간호사와 의사의 인식과 경험", 석사, pp.2003
- 고윤석, "연명치료중지시 의사의 역할과 의무", 대한의사협회지, 52(9), pp.871~879 (2009), 대한의사협회
- 김미숙, "안락사에 대한 사회적 인식", 한국보건사회연구원, ~, pp.공청회자료 (2002)
- 김상희, "암환자의 DNR(Do-Not-Resuscitate) 의사결정에 관한 연구", 석사, pp.1998
- 김선아, "노인환자 비 심폐소생술(DNR)에 대한 윤리적 태도 및 인식", 석사, pp.2009
- 김선옥, "중환자실에서의 치료중단 특성 분석", 석사, pp.1999
- 김소윤, "연명치료중단과 유보 결정에 대한 한국 중환자 전담의사 인식과 실행", 한국의료윤리학회지, 12(1), pp.15~28 (2009), 한국의료윤리학회
- 김애경, "간호사의 소극적 안락사에 대한 태도 조사", 기본간호학회지, 9(1), pp.76~85 (2002)
- 박계선, "소생 불가능한 환자의 안락사에 대한 의료진의 의식 조사: Q-방법론적 접근", 석사, pp.2000
- 박연옥, "연명치료 중단을 결정한 말기환자 가족의 경험", 박사, pp.2003
- 박연옥, "말기환자의 연명치료중단에 대한 간호사의 인식도", 한국의료윤리학회지, 7(2), pp.198~216 (2004), 한국의료윤리학회
- 변은경, "중환자실 간호사와 중환자가족의 연명치료 중단에 대한 태도 조사", 임상간호연구, 9(1), pp.112~124 (2003), 병원간호사회
- 성미혜, "중환자실간호사의 DNR과 관련된 윤리문제의 인식 및 태도조사", 임상간호연구, 13(3), pp.109~122 (2007), 병원간호사회
- 대한의사협회, "연명치료중지에 관한 지침" (2009), 연명치료 중지에 관한 지침 제정 특별위원회
- 이금미, "중단과 사전의사결정에 관한 고찰", 석사, pp.2006
- 하명옥, "연명치료 중단에 대한 간호사의 인식과 태도에 관한 연구", 석사, pp.2010
- 한국보건의료연구원, "무의미한 연명치료 중단을 위한 사회적 합의안 제시" (2009), 한국보건의료연구원
- 한성숙, "DNR에 대한 간호사의 인식 및 태도 조사", 간호행정학회지, 7(3), pp.403~414 (2001)
- 허대석, "무의미한 치료의 중단", 대한의사협회지, 44(9), pp.956~962 (2001)
- 허대석, "무의미한 연명치료를 거부할 권리", 대한의사협회지, 51(6), pp.524~529 (2008)
- Abbott, K. H, "Families looking back: One year after discussion of withdrawal or withholding of life-sustaining support", Critical Care Medicine, 29(1), pp.197~201 (2001)
- Carmel, S, "Physicians' and nurses' preferences in using life-sustaining treatment", Nursing Ethics, 14(5), pp.665~674 (2007)
- Cohen,J, "Quantitative methods in psychology: A power primer", Psychological Bulletin, 112(1), pp.155~159 (1992)
- Esteban, A, "Withdrawing and withholding life support in the intensive care unit: A Spanish prospective multi-centre observational study", Intensive Care Medicine, 27(11), pp.1744~1749 (2001)
- Ewer,M.S, "The definition of medical futility: Are we trying to define the wrong term?", Heart & Lung: the Journal of Critical Care, 30(1), pp.3~4 (2001)
- Kwok, T, "The attitudes of Chinese family caregivers of older people with dementia towards life sustaining treatments", Journal of Advanced Nursing, 58(3), pp.256~262 (2007)
- Schneiderman, L. J, "The rise and fall of the futility movement", The New England Journal of Medicine, 343(21), pp.1570~1578 (2000)
- Turner, J. S, "Limitation of life support: Frequency and practice in a London and a Cape Town intensive care unit", Intensive Care Medicine, 22(10), pp.1020~1025 (1996)