PDF(Pubmed)
Abstract：
UNASSIGNED: Do-Not-Attempt-Resuscitation orders originated in the early 1960s with the establishment of advanced cardiopulmonary resuscitation. These orders aim to limit therapeutic efforts in cases where it may be futile. The decision not to resuscitate a patient is a process that involves a series of ethical, legal, and clinical considerations. Still, it also requires a process in which priority is given to the patients and their autonomy. The objective of this study was to describe the knowledge and attitudes of physicians working in Chile toward Do-Not-Attempt-Resuscitation orders.
UNASSIGNED: A cross-sectional study was conducted, in which a digital questionnaire was sent to physicians from different regions of Chile. Quantitative variables were analyzed using measures of central tendency and dispersion (e.g., median and interquartile range), while qualitative variables were evaluated using frequencies and percentages.
UNASSIGNED: Four hundred and thirty-one physicians completed the survey. 85.4% were familiar with the ethical and legal guidelines for cardiopulmonary resuscitation and the rights and duties of the patient. 39.2% believed that patients should have the final decision Do-Not-Attempt-Resuscitation orders, especially if they themselves requested not to be resuscitated. 87.7% mentioned that the Do-Not-Attempt-Resuscitation orders should be reassessed if the patient\'s prognosis improves. In addition, it was found that the decision not to resuscitate was not always discussed with the patient or their family.
UNASSIGNED: The study revealed an ethical conflict regarding Do-Not-Attempt-Resuscitation orders and their management by Chilean physicians. Therefore, it is necessary to create recommendations and provide training to guide professionals in this process, which should also involve patients and their families.
UNASSIGNED: A cross-sectional study was conducted, in which a digital questionnaire was sent to physicians from different regions of Chile. Quantitative variables were analyzed using measures of central tendency and dispersion (e.g., median and interquartile range), while qualitative variables were evaluated using frequencies and percentages.
UNASSIGNED: Four hundred and thirty-one physicians completed the survey. 85.4% were familiar with the ethical and legal guidelines for cardiopulmonary resuscitation and the rights and duties of the patient. 39.2% believed that patients should have the final decision Do-Not-Attempt-Resuscitation orders, especially if they themselves requested not to be resuscitated. 87.7% mentioned that the Do-Not-Attempt-Resuscitation orders should be reassessed if the patient\'s prognosis improves. In addition, it was found that the decision not to resuscitate was not always discussed with the patient or their family.
UNASSIGNED: The study revealed an ethical conflict regarding Do-Not-Attempt-Resuscitation orders and their management by Chilean physicians. Therefore, it is necessary to create recommendations and provide training to guide professionals in this process, which should also involve patients and their families.
摘要：
■不尝试-复苏命令起源于1960年代初期，随着先进的心肺复苏术的建立。这些命令旨在限制在可能是徒劳的情况下的治疗努力。不抢救病人的决定是一个涉及一系列伦理的过程，legal,和临床考虑。尽管如此，它还需要一个优先考虑患者及其自主权的过程。这项研究的目的是描述在智利工作的医生对“不尝试复苏”命令的知识和态度。
■进行了横断面研究，其中向智利不同地区的医生发送了一份数字问卷。使用集中趋势和分散的度量来分析定量变量(例如，中位数和四分位数范围)，而定性变量使用频率和百分比进行评估.
■400名医生完成了这项调查。85.4％的人熟悉心肺复苏的道德和法律指南以及患者的权利和义务。39.2%的人认为患者应该有最终决定的“不尝试复苏令”，特别是如果他们自己要求不要复苏。87.7％的人提到，如果患者的预后改善，则应重新评估“不尝试复苏”命令。此外,结果发现，并不总是与患者或其家人讨论不复苏的决定。
■该研究揭示了关于“不尝试复苏”命令及其由智利医生管理的道德冲突。因此,有必要提出建议并提供培训，以指导专业人员进行此过程，这也应该涉及患者和他们的家人。
■进行了横断面研究，其中向智利不同地区的医生发送了一份数字问卷。使用集中趋势和分散的度量来分析定量变量(例如，中位数和四分位数范围)，而定性变量使用频率和百分比进行评估.
■400名医生完成了这项调查。85.4％的人熟悉心肺复苏的道德和法律指南以及患者的权利和义务。39.2%的人认为患者应该有最终决定的“不尝试复苏令”，特别是如果他们自己要求不要复苏。87.7％的人提到，如果患者的预后改善，则应重新评估“不尝试复苏”命令。此外,结果发现，并不总是与患者或其家人讨论不复苏的决定。
■该研究揭示了关于“不尝试复苏”命令及其由智利医生管理的道德冲突。因此,有必要提出建议并提供培训，以指导专业人员进行此过程，这也应该涉及患者和他们的家人。
