Allow natural death versus do-not-resuscitate: Titles, information contents, outcomes, and the considerations related to do-not-resuscitate decision

Sheng Yu Fan, Ying Wei Wang, I. Mei Lin

研究成果: Article同行評審

9 引文 斯高帕斯(Scopus)

摘要

Background: As the "do not resuscitate" (DNR) discussion involves communication, this study explored (1) the effects of a title that included "allow natural death", and of information contents and outcomes of the decision; and (2) the information needs and consideration of the DNR decision, and benefits and barriers of the DNR discussion. Methods: Healthy adults (n = 524) were presented with a scenario with different titles, information contents, and outcomes, and they rated the probability of a DNR decision. A questionnaire including information needs, consideration of the decision, and benefits and barriers of DNR discussion was also used. Results: There was a significantly higher probability of signing the DNR order when the title included "allow natural death" (t = - 4.51, p < 0.001), when comprehensive information was provided (F = 60.64, p < 0.001), and when there were worse outcomes (F = 292.16, p < 0.001). Common information needs included remaining life period and the prognosis. Common barriers were the families' worries and uncertainty about future physical changes. Conclusion: The title, information contents, and outcomes may influence the DNR decisions. Health-care providers should address the concept of natural death, provide comprehensive information, and help patients and families to overcome the barriers.

原文English
文章編號114
期刊BMC Palliative Care
17
發行號1
DOIs
出版狀態Published - 2018 十月 10

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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