Do-not-resuscitate orders for critically ill patients in intensive care

Yuan-May Chang, Chin Feng Huang, Chia Chin Lin

研究成果: 雜誌貢獻文章同行評審

25 引文 斯高帕斯(Scopus)


End-of-life decision making frequently occurs in the intensive care unit (ICU). There is a lack of information on how a do-not-resuscitate (DNR) order affects treatments received by critically ill patients in ICUs. The objectives of this study were: (1) to compare the use of life support therapies between patients with a DNR order and those without; (2) to examine life support therapies prior to and after the issuance of a DNR order; and (3) to determine the clinical factors that influence the initiation of a DNR order in ICUs in Taiwan. A prospective, descriptive, and correlational study was conducted. A total of 202 patients comprising 133 (65.8%) who had a DNR order, and 69 (34.1%) who did not, participated in this study. In the last 48 hours of their lives, patients who had a DNR order were less likely to receive life support therapies than those who did not have a DNR order. Older age, being unmarried, the presence of an adult child as a surrogate decision maker, a perceived inability to survive ultimate discharge from the ICU, and longer hospitalization in the ICU were significant predictors of issuing a DNR order for critically ill patients. This study will draw attention to how, when, and by whom, critically ill patients' preferences about DNR are elicited and honored.

頁(從 - 到)445-455
期刊Nursing Ethics
出版狀態已發佈 - 2010

ASJC Scopus subject areas

  • 問題、倫理和法律方面
  • 醫藥 (全部)


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