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
- 2021.1
- 수록면
- 593 - 600 (8page)
이용수
초록· 키워드
오류제보하기
Purpose This cross-sectional study investigated the status of life-sustaining treatment (LST) practices and identified characteristics and factors influencing decision-making practices.Materials and Methods The National Agency for Management of Life-sustaining Treatment retains records provided by doctors regarding patients subject to LST implementation. A total of 71,327 patients receiving LST were identified. We analyzed all nationally reported data between February 2018 and October 2019. Indicators such as the proportion of deaths, records for decision to terminate LST, implementation of LST records, and registration of Advance Statements on LST were analyzed.Results A total of 67,252 (94.3%) end-of life decisions were implemented in South Korea. The proportion of deaths preceded by a LST plan, non-self-determination LST decision, and any advance statements was 33.5% (23,891/71,327), 66.5% (47,436/71,327), and 1.2% (890/71,327), respectively. The logistic regression model revealed that self-determination to terminate LST was more frequent for men than for women and higher for those aged 30-69. Disability (odds ratio [OR], 0.59; 95% confidence interval [CI], 0.56 to 0.61), living in non-metropolitan areas (OR, 0.84; 95% CI, 0.81 to 0.86), and disease comorbidity was independently associated with a low level of self-determination.Conclusion After the implementation of the new LST Act, about a third of patients in end-of-life process made decisions regarding their medical LST. However, family members still play a major role in LST decisions where the patient’s intention cannot be verified. Decisions related to LST are predominantly made when death is imminent. Thus, it is necessary to increase awareness of end-of-life LST decision-making among medical staff and the public.
목차
등록된 정보가 없습니다.
참고문헌 (34)
참고문헌 신청
Cook D / 2003 / Withdrawal of mechanical ventilation in anticipation of death in the intensive care unit / N Engl J Med 349:1123~1132
Yaguchi A / 2005 / International differences in end-of-life attitudes in the intensive care unit : results of a survey / Arch Intern Med 165:1970~1975
Phua J / 2015 / Withholding and withdrawal of life-sustaining treatments in intensive care units in Asia / JAMA Intern Med 175:363~371
Frost DW / 2011 / Patient and healthcare professional factors influencing end-of-life decision-making during critical illness : a systematic review / Crit Care Med 39:1174~1189
Crawley LM / 2002 / Strategies for culturally effective end-of-life care / Ann Intern Med 136:673~679
Yaguchi A / 2005 / International differences in end-of-life attitudes in the intensive care unit : results of a survey / Arch Intern Med 165:1970~1975
Phua J / 2015 / Withholding and withdrawal of life-sustaining treatments in intensive care units in Asia / JAMA Intern Med 175:363~371
Frost DW / 2011 / Patient and healthcare professional factors influencing end-of-life decision-making during critical illness : a systematic review / Crit Care Med 39:1174~1189
Crawley LM / 2002 / Strategies for culturally effective end-of-life care / Ann Intern Med 136:673~679
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Preparation and Practice of the Necessary Documents in Hospital for the “Act on Decision of Life-Sustaining Treatment for Patients at the End-of-Life”
Cancer Research and Treatment
2021 .10
-
Implication of the Life-Sustaining Treatment Decisions Act on End-of-Life Care for Korean Terminal Patients
Cancer Research and Treatment
2020 .01
-
Analysis of Cancer Patient Decision-making and Health Service Utilization after Enforcement of the Life-Sustaining Treatment Decision-Making Act in Korea
Cancer Research and Treatment
2022 .01
-
Comparison of factors influencing the decision to withdraw life-sustaining treatment in intensive care unit patients after implementation of the Life-Sustaining Treatment Act in Korea
Acute and Critical Care
2024 .05
-
Difficulties Doctors Experience during Life-Sustaining Treatment Discussion after Enactment of the Life-Sustaining Treatment Decisions Act: A Cross-Sectional Study
Cancer Research and Treatment
2021 .01
-
중환자실 간호사의 연명의료에 대한 태도, 역할인식 및 간호 스트레스
성인간호학회지
2017 .04
-
Exploring the experiences and perspectives of emergency physicians on brain death organ tissue donation after the Life-Sustaining Treatment Decision Act
Clinical Transplantation and Research
2022 .03
-
Making Decisions for Unbefriended Patients on Life-Sustaining-Treatment in South Korea: Healthcare Providers’ Experiences
한국의료윤리학회지
2021 .09
-
The Situation of Life-Sustaining Treatment One Year After Enforcement of the Act on Decisions on Life-Sustaining Treatment for Patients at the End-of-Life in Korea: Data of National Agency for Management of Life-Sustaining Treatment
Cancer Research and Treatment
2021 .10
-
Effect of the end-of-life care law on life-sustaining treatment in emergency patients with advanced malignancy: a retrospective before-after study
대한응급의학회지
2020 .01
-
간호사와 의사의 연명치료 중지에 대한 태도와 연명치료 중지 지침에 대한 지식
동서간호학연구지
2017 .01
-
연명의료 관련 신문 기사의 텍스트네트워크분석
지역사회간호학회지
2018 .06
-
연명의료에 대한 노인 환자와 보호자 간 인식 비교
한국의료윤리학회지
2016 .12
-
Palliative Care and Decision Making at the End of Life
대한외과학회 학술대회 초록집
2022 .11
-
Clinicopathological feature and treatment outcome of patients with colorectal laterally spreading tumors treated by endoscopic submucosal dissection
Intestinal research
2019 .01
-
Lifting Shadows off the End-of-Life Care: Hopes and Beliefs on Video Decision Support Tools for Advance Care Planning
한국호스피스·완화의료학회지
2016 .01
-
Public and Clinician Perspectives on Ventilator Withdrawal in Vegetative State Following Severe Acute Brain Injury: A Vignette Survey
Journal of Korean Medical Science
2024 .09
-
간호사의 연명의료에 대한 지식 측정도구 개발
성인간호학회지
2022 .10
-
연명의료결정법 1주기 평가와 종양내과 의사로서 느끼는 법과 임상현장의 괴리
한국의료윤리학회지
2019 .01
-
장애인 환자의 연명의료결정 시 자기결정권 존중과 의사결정 조력
한국의료윤리학회지
2017 .03
이 논문의 저자 정보
최근 본 자료
댓글(0)
0