https://scholars.lib.ntu.edu.tw/handle/123456789/545077
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.author | Huang C.-H. | en_US |
dc.contributor.author | WEN-YU HU | en_US |
dc.contributor.author | TAI-YUAN CHIU | en_US |
dc.contributor.author | Chen C.-Y. | en_US |
dc.creator | Huang C.-H.;Hu W.-Y.;Tai-Yuan Chiu;Chen C.-Y. | - |
dc.date.accessioned | 2021-02-02T02:28:27Z | - |
dc.date.available | 2021-02-02T02:28:27Z | - |
dc.date.issued | 2008 | - |
dc.identifier.issn | 0306-6800 | - |
dc.identifier.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-55449135002&doi=10.1136%2fjme.2007.020735&partnerID=40&md5=6de9a95cd98ccfdcdc2fcf3d5b2afdde | - |
dc.identifier.uri | https://scholars.lib.ntu.edu.tw/handle/123456789/545077 | - |
dc.description.abstract | Objectives: To investigate the current situation of completing the informed consent for do-not-resuscitate (DNR) orders among the competent patients with terminal illness and the ethical dilemmas related to it. Participants: This study enrolled 152 competent patients with terminal cancer, who were involved in the initial consultations for hospice care. Analysis: Comparisons of means, analyses of variance, Student's t test, χ2 test and multiple logistic regression models. Results: After the consultations, 117 (77.0%) of the 152 patients provided informed consent for hospice care and DNR orders. These included 21 patients (17.9%) who signed the consent by themselves, and 96 (82.1%) whose consent sheet was signed only by family members. The reasons why patients were not involved in the discussions toward the consent (n = 82) included poor physical or psychological condition (44.9%), concerns of the consultant hospice team (37.2%), and the family's refusal (28.2%). On a multivariate analysis, patients' awareness of their poor prognosis (odds ratio = 4.07, 95% confidence interval = 2.05 to 8.07) and their understanding of hospice care (2.27, 1.33 to 3.89) were two independent factors (p<0.01) that influenced their participation in the discussions or their personal signature in the informed consent. Conclusion: The family-oriented culture in Asian countries may violate the principles of the Patient Self-Determination Act and the requirements of the Hospice Care Law in Taiwan, which inevitably poses an ethical dilemma. Earlier truth-telling and continuing education of the public by hospice care workers will be helpful in solving such ethical dilemmas. | - |
dc.relation.ispartof | Journal of Medical Ethics | - |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.other | adolescent; adult; aged; article; ethics; ethnology; family; female; human; informed consent; interpersonal communication; legal aspect; male; mental capacity; middle aged; organization and management; psychological aspect; regression analysis; resuscitation; right to die; Taiwan; terminal care; terminally ill patient; Adolescent; Adult; Aged; Family; Female; Humans; Informed Consent; Male; Mental Competency; Middle Aged; Regression Analysis; Resuscitation Orders; Right to Die; Taiwan; Terminal Care; Terminally Ill; Truth Disclosure | - |
dc.title | The practicalities of terminally ill patients signing their own DNR orders - A study in Taiwan | en_US |
dc.type | journal article | en |
dc.identifier.doi | 10.1136/jme.2007.020735 | - |
dc.identifier.pmid | 18448711 | - |
dc.identifier.scopus | 2-s2.0-55449135002 | - |
dc.relation.pages | 336-340 | - |
dc.relation.journalvolume | 34 | - |
dc.relation.journalissue | 5 | - |
item.openairetype | journal article | - |
item.cerifentitytype | Publications | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.fulltext | no fulltext | - |
item.grantfulltext | none | - |
crisitem.author.dept | School of Nursing | - |
crisitem.author.dept | Nursing-NTUH | - |
crisitem.author.dept | Second Degree Bachelor of Science in Nursing | - |
crisitem.author.orcid | 0000-0001-5244-2458 | - |
crisitem.author.orcid | 0000-0002-8528-7981 | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
顯示於: | 醫學系 |
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