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성인간호학회지 = Korean Journal of Adult Nursing, v.25 no.3, 2013년, pp.322 - 331
우미경 (김해대학교 간호과) , 김미영 (이화여자대학교 건강과학대학 간호과학부)
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Purpose: This study was conducted to understand the meaning of the DNR experiences of nurses. Methods: The data were collected through in-depth interviews, observation, and field records with five nurses from November 2009 to February 2011. The data were analyzed using narrative inquiry methodology....
| 핵심어 | 질문 | 논문에서 추출한 답변 |
|---|---|---|
| 심폐소생술금지란 무엇인가? | 심폐소생술금지(Do-Not-Resuscitate, 이하 DNR)는 사람의 호흡이 멈추거나 심장박동이 멈추었을 때 심폐소생술을 시행하지 않는 것(Bacchetta, Eachempati, Fins, Hydo, & Barie, 2006)으로 임종기 환자 관리를 위한 선택으로 소개되어 왔다. 특히, 성공적으로 심폐소생술이 시행되었다 하더라도 후에 예후가 나쁘거나 무의미한 환자군이 증가하고 그들의 삶의 질에 대한 문제가 대두되면서 DNR에 대한 사회적 수용 이 증가하였다(Varon & Marik, 2007). | |
| DNR을 결정하는 과정에서 고려되는 사항은 무엇인가? | DNR을 결정하는 과정을 통해 의료진과 가족 간에는 상충된 의견으로 인해 갈등이 유발되기도 하고, 법적, 윤리적, 경제적 상황이 고려되기도 한다(Shapira-Lishchinsky, 2009). | |
| 심폐소생술금지에 대한 사회적 수용은 왜 증가하였는가? | 심폐소생술금지(Do-Not-Resuscitate, 이하 DNR)는 사람의 호흡이 멈추거나 심장박동이 멈추었을 때 심폐소생술을 시행하지 않는 것(Bacchetta, Eachempati, Fins, Hydo, & Barie, 2006)으로 임종기 환자 관리를 위한 선택으로 소개되어 왔다. 특히, 성공적으로 심폐소생술이 시행되었다 하더라도 후에 예후가 나쁘거나 무의미한 환자군이 증가하고 그들의 삶의 질에 대한 문제가 대두되면서 DNR에 대한 사회적 수용 이 증가하였다(Varon & Marik, 2007). 본 연구에서의 DNR 은 심폐소생술뿐만 아니라 기관내 삽관, 인공호흡기, 제세동 기, 응급약물 등의 부가적인 치료에 대한 금지까지 포함하여 사용하고자 한다. |
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