지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 16 - 23 (8page)
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초록· 키워드
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Background: In order to promote the dignity of terminal patients, and improve end-of-life care (EOL care) in Korea, consensus guidelines to the withdrawal of life-sustaining therapies (LST) were published in October, 2009. The aim of this study was to assess the current perception of the guideline among internal medicine residents and to identify barriers to the application of the guidelines.
Methods: The study was designed prospectively on the basis of data from e-mail survey. We surveyed 98 medical residents working in 19 medical centers.
Results: 75.5% of respondents agreed with withdrawing (WD) of LST and 33.3% (33/98) of respondents were unaware of the guideline. Although 58.1% of all respondents had taken an EOL care class in medical school, about 30% of residents did feel uncomfortable with communicating with patients and surrogates. The most important obstacle for decision of WD of LST was the resident’s psychological stress. 39.8% of medical residents felt guilty or failure after a patient’s death, and 41.8% became often or always depressed in a patient’s dying.
Conclusions: In order to protect and enhance the dignity and autonomy of terminal patients, the improvement of the medical training program in the hospitals and the more concern of educational leaders are urgent.
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참고문헌 (26)
참고문헌 신청
/ 2009 / 2009Da17417 Decided. In: Decision SCFP / Supreme Court
Agency NE-bHC / 2009 / Agency NE-bHC: The suggestion of social consensus on withdrawing a life-sustaining therapy in terminally ill patients : 494 ~
Angus DC / 2004 / Robert Wood Johnson Foundation ICU End-Of-Life Peer Group: Use of intensive care at the end of life in the United States: an epidemiologic study / Crit Care
Baker JN / 2007 / National survey of pediatric residency program directors and residents regarding education in palliative medicine and end-of-life care / J Palliat Med 10 :
Carlet J / 2004 / Challenges in end-of-life care in the ICU. Statement of the 5th International Consensus Conference in Critical Care: Brussels, Belgium, April 2003 / Intens
Agency NE-bHC / 2009 / Agency NE-bHC: The suggestion of social consensus on withdrawing a life-sustaining therapy in terminally ill patients : 494 ~
Angus DC / 2004 / Robert Wood Johnson Foundation ICU End-Of-Life Peer Group: Use of intensive care at the end of life in the United States: an epidemiologic study / Crit Care
Baker JN / 2007 / National survey of pediatric residency program directors and residents regarding education in palliative medicine and end-of-life care / J Palliat Med 10 :
Carlet J / 2004 / Challenges in end-of-life care in the ICU. Statement of the 5th International Consensus Conference in Critical Care: Brussels, Belgium, April 2003 / Intens
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