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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 192 - 201 (10page)
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초록· 키워드
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Background: To identify the necessary care for dying patients in intensive care units (ICUs), we designed a retrospective study to evaluate the quality of dying and death (QODD) experienced by the surrogates of patients with medical illness who died in the ICU of a tertiary referral hospital. Methods: To achieve our objective, the authors compared the QODD scores as appraised by the relatives of patients who died of cancer under hospice care with those who died in the ICU. For this study, a Korean version of the QODD questionnaire was developed, and individual interviews were also conducted. Results: Sixteen people from the intensive care group and 23 people from the hospice care group participated in the survey and completed the questionnaire. The family members of patients who died in the ICU declined participation at a high rate (50%), with the primary reason being to avoid bringing back painful memories (14 people, 87.5%). The relatives of the intensive care group obtained an average total score on the 17-item QODD questionnaire, which was significantly lower than that of the relatives of the hospice group (48.7±15.5 vs. 60.3±14.8, P=0.03). Conclusions: This work implies that there are unmet needs for the care of dying patients and for the QODD in tertiary hospital ICUs. This result suggests that shared decision making for advance care planning should be encouraged and that education on caring for dying patients should be provided to healthcare professionals to improve the QODD in Korean ICUs.
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등록된 정보가 없습니다.
참고문헌 (31)
참고문헌 신청
Statistics Korea / 2018 / Report of 2017 birth and death rate
Truog RD / 2008 / Recommendations for end-of-life care in the intensive care unit : a consensus statement by the American College [corrected] of Critical Care Medicine / Crit Care Med 36:953~963
Patrick DL / 2001 / Evaluating the quality of dying and death / J Pain Symptom Manage 22:717~726
Curtis JR / 2002 / A measure of the quality of dying and death; initial validation using after-death interviews with family members / J Pain Symptom Manage 24:17~31
Heckel M / 2015 / Validation of the German Version of the Quality of Dying and Death Questionnaire for Informal Caregivers(QODD-D-Ang) / J Pain Symptom Manage 50:402~413
Truog RD / 2008 / Recommendations for end-of-life care in the intensive care unit : a consensus statement by the American College [corrected] of Critical Care Medicine / Crit Care Med 36:953~963
Patrick DL / 2001 / Evaluating the quality of dying and death / J Pain Symptom Manage 22:717~726
Curtis JR / 2002 / A measure of the quality of dying and death; initial validation using after-death interviews with family members / J Pain Symptom Manage 24:17~31
Heckel M / 2015 / Validation of the German Version of the Quality of Dying and Death Questionnaire for Informal Caregivers(QODD-D-Ang) / J Pain Symptom Manage 50:402~413
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