DOI QR코드

DOI QR Code

A Study on the Perception and Attitude of 'Do Not Resuscitate' in Adults

성인의 심폐소생술 금지(DNR)에 대한 인식 및 태도에 대한 조사 연구

  • Received : 2019.04.25
  • Accepted : 2019.06.20
  • Published : 2019.06.28

Abstract

This is a descriptive study on the perception and attitude toward DNR in adults. Structured questionnaires were used and 210 subjects were studied. In recognition of DNR, DNR was helpful for 'a comfortable dying(64.3%)'. The need for DNR in situation investigated 'For dignified dying (41.3%)' and 'to alleviate patient suffering(23.9%)'. Respondents who do not agree with DNR are shown 'Because legal issues can arise(61.7%)', 'Because human dignity is the life-sustaining priority(16.7%)'. In the attitude toward DNR, the most significant result was 'I want to know if I have an incurable disease (4.21).' There was no difference in attitudes toward DNR among adults. The DNR is not a method of Withdrawing in lifeprolonging treatment, It should be addressed in a comprehensive context in which human beings exercise autonomy over the process of dying and death.

Keywords

CPR;DNR;Lifeprolonging Treatment;Withdrawing of Lifeprolonging Treatment;Dignity;Death

Table 1. The General Characteristics of Subjects

OHHGBW_2019_v10n6_393_t0001.png 이미지

Table 2. DNR's help in a comfortable dying

OHHGBW_2019_v10n6_393_t0002.png 이미지

Table 3. DNR's help in dignified dying

OHHGBW_2019_v10n6_393_t0003.png 이미지

Table 4. Need of DNR depending on the situation

OHHGBW_2019_v10n6_393_t0004.png 이미지

Table 5. Why you need DNR?(Multiple responses, n=435)

OHHGBW_2019_v10n6_393_t0005.png 이미지

Table 6. Why DNR is not needed? (Multiple responses, n=324)

OHHGBW_2019_v10n6_393_t0006.png 이미지

Table 7. Person in charge of DNR's decision

OHHGBW_2019_v10n6_393_t0007.png 이미지

Table 8. DNR's decision When the respondent is terminally and irrevocably

OHHGBW_2019_v10n6_393_t0008.png 이미지

Table 9. Need of education for DNR

OHHGBW_2019_v10n6_393_t0009.png 이미지

Table 10. Attitudes Related to DNR’s Determination

OHHGBW_2019_v10n6_393_t0010.png 이미지

Table 11. Age-related attitudes toward DNR

OHHGBW_2019_v10n6_393_t0011.png 이미지

References

  1. I. C. Hong. (2019. 4. 10). Refusal of Lifeprolonging treatment... Jeonju pre-registration letter of intent 4 times of last year. Yonhapnews Agency. https://www.yna.co.kr/view/AKR20190410121900055?input=1195m.
  2. S. S. Han, S. A. Chung, M .S. Moon, M. H. Han & G. H. Ko. (2001). Nurses' Understanding and Attitude on DNR', J. of Korean Nursing Administration Academic Society, 7(3), 403-414.
  3. H. I. Kang. (2003). Awareness and Expierience of Nurses and Physicians on DNR. Master's degree request thesis. Hallym University, Chuncheon.
  4. A. J. Kim.. (2016). Decision making of Cardiac Arrest in the Emergency Department. Doctor's degree request thesis. Ewha Womans University, Seoul.
  5. H. Y. Park. (2010). Awareness and Ethical Attitude about DNR of Emergency Departments' Team. Master's degree request thesis. Inje University, Gimhae.
  6. S. H. Shin. (2013). A Study on general Population's insight & attitude toward Do-Not-Resuscitate. Master's degree request thesis. Hanyang University, Seoul.
  7. C. Byrd. (1994). Do-Not-Resuscitate(DNR) Orders. PROGRESS IN CARDIOVASCULAR NURSING, 9(1), 45-46.
  8. S. K. Kim. (2006). Experience of family & nurse related to the process of DNR decision. Master's degree request thesis. Yonsei University, Seoul.
  9. C. Y. Chang. (2010). Study of the attitude toward withholding life-sustaining treatment and the characteristics of cancer patient family: Focusing on Do-Not-Resuscitate. Master's degree request thesis. The Catholic University of Korea, Seoul.
  10. K. J. Song. (2002). Current knowledge of CPR. Korean Journal of Family Medicine, 23(7), 825-830.
  11. K. Gleeson & S. Weiss. (1990). The Do-not-resuscitate order. Arch International MED, 150(5), 1057-1060. https://doi.org/10.1001/archinte.1990.00390170091020
  12. A. R. Kim. (2016). Present states of AD(Advance Directives) and DNR(Do-Not-Resuscitation) of domestic hospitals in Korea. Master's degree request thesis. KyungHee University, Seoul.
  13. J. I. Chang. (2018). Ethical problems experienced by ICU nurses caring for patients with DNR orders. Doctor's degree request thesis. KangWon University, Chuncheon.
  14. Y. M. Cho. (2016). Frequancy and Importance Changes in Nursing Activities After DNR(Do-Not-Resuscitation) Decision-Making at Intensive Care Units. Master's degree request thesis. Seoul National University, Seoul.
  15. H. A .Kim & J. Y. Park. (2017). Changes in Life-sustaining Treatment in Terminally Ill Cancer Patients after Signing a Do-Not-Resuscitate Order. The Korean journal of hospice and palliative care, 20(2), 93-99. https://doi.org/10.14475/kjhpc.2017.20.2.93