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NTIS 바로가기중환자간호학회지 = Journal of Korean critical care nursing, v.13 no.1, 2020년, pp.1 - 14
김민혜 (인제대학교 의과대학 간호학과) , 이윤미 (인제대학교 의과대학 간호학과, 건강과학연구소)
Purpose : The purpose of this study was to identify the factors influencing the general hospital nurses' confidence about the advance directives (ADs). Methods : This is a descriptive cross-sectional study. A total of 105 nurses were asked questions about characteristics, knowledge, attitude, learni...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
사전의료의향서란? | 사전의료의향서(advance directives, ADs)는 개인이 의사결정 능력을 상실하였을 때를 대비하여 의료처치 중 자신이 치료받기 원하거나 원하지 않는 것을 사전에 결정해 둘 수 있게 해 의료진 및 가족 구성원이 연명치료에 관한 환자의 뜻을 이해할 수 있도록 사전에 문서화한 것을 말한다(Korean Academy of Medical Sciences, 2002). 미국의 경우 1991년 환자자기결정법(patient self-determination act, PSDA)이 시행된 이후 모든 주마다 사전의료의향서 관련 법을 제정하여 개인의 자율성 및 자기결정권을 보장하고 있다(Pollack, Morhaim, & Williams, 2010). | |
연명의료결정법에 대해 인지하고 있는 의료진 비율은 어느정도였는가? | 국내에서는 2016년 「호스피스·완화의료 및 임종과정에 있는 환자의 연명의료결정에 관한 법률」(이하 ‘연명의료결정법’으로 약칭)이 제정되어 2018년 2월부터 본 법이 시행되고 있다 (Ministry of Government Legislation, 2018). 그러나 연명의료결정법에 대해 인지하고 있는 의료진은 33.6%로 매우 낮았으며, 38.8%의 의료진만이 사전연명의료의향서 및 연명의료계획서에 대해 들어본 것으로 나타나 연명의료결정법과 사전의료의향서에 대한 인식이 부족하였다(Health Insurance Policy Researcher, 2017). | |
사전연명의료의향서 및 연명의료계획서에 관련된 법인 호스피스 완화 의료 및 임종과정에 있는 환자의 연명의료결정에 관한 법률이 제정되어 시행된 시기는? | 미국의 경우 1991년 환자자기결정법(patient self-determination act, PSDA)이 시행된 이후 모든 주마다 사전의료의향서 관련 법을 제정하여 개인의 자율성 및 자기결정권을 보장하고 있다(Pollack, Morhaim, & Williams, 2010). 국내에서는 2016년 「호스피스·완화의료 및 임종과정에 있는 환자의 연명의료결정에 관한 법률」(이하 ‘연명의료결정법’으로 약칭)이 제정되어 2018년 2월부터 본 법이 시행되고 있다 (Ministry of Government Legislation, 2018). 그러나 연명의료결정법에 대해 인지하고 있는 의료진은 33. |
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