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CHNR : Child health nursing research, v.23 no.3, 2017년, pp.364 - 374
박소연 (동아대학교 간호학과) , 주현옥 (동아대학교 간호학과) , 이가언 (동아대학교 간호학과)
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Purpose: The purpose of this study was to describe feelings and actions of nurses following withdrawal of life-sustaining treatment from children being cared for by the nurses. Methods: Data were collected by in-depth interviews with 7 nurses from different hospitals where children receiving nursing...
| 핵심어 | 질문 | 논문에서 추출한 답변 |
|---|---|---|
| 환자에게 연명치료가 의미가 없다고 판단할 때 무엇을 결정하는가? | 환자에게 연명치료가 의미가 없다고 판단할 때 심폐소생술금지(DNR)나 연명치료중단 등의 결정을 하게 된다[2]. 연명치료중단이란 소생의 가망이 없는 불치의 환자가 죽음에 이르게끔 생명유지 장치를 제거하거나 치료를 중지하는 것을 의미한다[1]. | |
| 부모가 아동에게 연명치료중단을 결정하며 힘들어하는 이유는 무엇인가? | 그러나 부모들은 이런 상황을 받아들이기 매우 힘들어하며 어려움을 경험한다[8]. 성인 연명치료중단을 결정하는 가족들은 환자의 삶의 질이 고통으로 인해 과거보다 낮아졌음을 판단하고 결정하지만[9], 아동의 경우 시간의 흐름에 따른 노화과정으로 인한 사망이 아니며 기대했던 성장발달을 할 수 없다는 것으로 인해 예기치 못한 비극으로 여겨지기 때문이다[10]. | |
| 사전의료의향서란 무엇인가? | 생의 말기에 단순히 생존 기간을 연장하거나 보존을 위한 무의미한 치료를 지속하기보다는 호스피스 완화의료를 받거나 사전의료의향서를 작성하는 것에 대한 긍정적인 인식이 확산되고 있다[1]. 사전의료의향서는 환자가 판단능력이 있을 때, 미리 자신의 의료행위에 대한 의사결정, 대리인 지명, 심폐소생술금지(Do Not Resuscitate, DNR) 및 원하지 않는 치료행위를 명시하여 기록으로 남기는 것을 의미한다[2]. 나아가 최근에는 자연스러운 죽음을 허용(Allow Natural Death, AND)하는 것에 대한 개념이 주목을 받고 있다[3]. |
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