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
- 2018.1
- 수록면
- 614 - 623 (10page)
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초록· 키워드
오류제보하기
Purpose The aims of this study were to explore how oncologists and resident physicians practice end-of-life (EOL) discussions and to solicit their opinions on EOL discussions as a means to improve the quality of EOL care. Materials and Methods A survey questionnaire was developed to explore the experiences and opinions about EOL discussions among oncologists and residents. Descriptive statistics, the t test, and the chisquare test were performed for the analyses. Results A total of 147 oncologists and 229 residents participated in this study. The study respondents reported diverse definitions of “terminal state,” and most respondents tried to disclose the patient’s condition to the patient and/or family members. Both groups were involved in EOL care discussions, with a rather low satisfaction level (57.82/100). The best timing to initiate discussion was considered when metastasis or disease recurrence occurred or when withdrawal of chemotherapy was anticipated. Furthermore, the study respondents suggested that patients and their family members should be included in the EOL discussion. Medical, legal, and ethical knowledge and communication difficulties along with practical issues were revealed as barriers and facilitators for EOL discussion. Conclusion This study explored various perspectives of oncologists and resident physicians for EOL discussion. Since the Life-Sustaining-Treatment Decision-Making Act will be implemented shortly in Korea, now is the time for oncologists and residents to prepare themselves by acquiring legal knowledge and communication skills. To achieve this, education, training, and clinical tools for healthcare professionals are required.
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등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Office of Disability / 2008 / Advance directives and advance care planning: report to Congress
Kaplan RM / 2005 / Decision making in medicine and health care / Annu Rev Clin Psychol 1:525~556
Rogne L / 2014 / Introduction: a matter of life and death;Advance care planning: communicating about matters of life and death / Springer :1~9
Committee on Approaching Death: Addressing Key End of Life Issues / 2014 / Dying in America: improving quality and honoring individual preferences near the end of life / National Academies Press
Levi BH / 2010 / Too soon to give up: re-examining the value of advance directives / Am J Bioeth 10:3~22
Kaplan RM / 2005 / Decision making in medicine and health care / Annu Rev Clin Psychol 1:525~556
Rogne L / 2014 / Introduction: a matter of life and death;Advance care planning: communicating about matters of life and death / Springer :1~9
Committee on Approaching Death: Addressing Key End of Life Issues / 2014 / Dying in America: improving quality and honoring individual preferences near the end of life / National Academies Press
Levi BH / 2010 / Too soon to give up: re-examining the value of advance directives / Am J Bioeth 10:3~22
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