Opinions of Chest Physicians About the Do-Not-Resuscitate (DNR) Orders: Respect for Patient’s Autonomy or Medical Futility?
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Tarih
2018
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: In this study, we aimed to investigate physicians’knowledge, attitude, and behavior related to cardiopulmonaryresuscitation (CPR) and the do-not-resuscitate(DNR) order, and the factors associated with decisions toabide by patients’ DNR orders were also evaluated.Material and Methods: An e-survey designed by the researchteam, based on the European Resuscitation CouncilGuidelines (2015), American Heart Association Guidelines(2015) for resuscitation, and the relevant literature and legalregulations, was administered to resident and specialistdoctors in chest diseases. Descriptive data of the number,percentage, and the mean and standard deviation arepresented. The chi-squared test was used in the analysisof categorical data. Statistical significance was accepted asp<0.05.Results: The e-survey questions were answered by 376physicians voluntarily. Of responders, 59.6% (n=224) werefemale, and the mean age was 40.2±9.0 years. Approximately57% of physicians reported that “if a doctor has decidedmedical futility, not performing CPR does not constitute anethical debate.” Responses indicated that 47.7% of physicianswould abide by the DNR order. A statistically significantdifference was identified between “physicians’ decision notto perform CPR” and “abiding by the patient’s DNR orders”(p<0.05). There was also a statistically significant differencebetween “perceiving the DNR orders as euthanasia andthinking abiding by this decision was a crime” and “abidingby patient’s DNR orders” (p<0.05).Conclusion: In this study, we observed that two mainfactors are foreground in the implementation of the DNRorder. The first of these is the physician’s opinion about medicalfutility of CPR, and the other is the lack of specific lawsregarding DNR in Turkey. Defining specific legal regulationsrelated to end-of-life decisions like DNR will aid in ensuringpatient autonomy.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp, Tıbbi Etik, Sağlık Bilimleri ve Hizmetleri
Kaynak
Dahili ve Cerrahi Bilimler Yoğun Bakım Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
9
Sayı
2
