The factors influenced the behavior intention of medical decision and targeting on the families with terminal patients at intensive care units(ICU)

• Main Authors: Yi-Fung Wu, 吳宜芳
• Other Authors: Wen-Yu Hu
• Format: Others
• Language: zh-TW
• Published: 2005
• Online Access: http://ndltd.ncl.edu.tw/handle/08723907842985809214

碩士 === 國立臺灣大學 === 護理學研究所 === 93 === The aim of this study was to investigate the factors influenced the behavior intention of medical decision and targeting on the families with terminal patients at intensive care units(ICU).A purposive sampling method was used in.60 families.This data was analyzed by the software of SPSS11.0 version. The important findings are: (1) When the patients are at the terminal stage of their diseases, 85% of their families are willing to have hospice care at ICU. (2) The Regulations of Hospice Care are known by only 25% of the families. (3) When the patients are at the terminal stage of their diseases,91.7% of their families consider themselves as the first ones to be informed by the doctors. (4) The family of the patients at ICU have a positive attitude toward “truth telling”, “the treatment for terminal stage”, and “terminal medical decision making”. (5) The family of the patients at ICU think the patients’ life quality score was 4.58 in average, and half of them feel that the patients do not have good dying. (6) “DNR agreement” and “having seen CPR to others and having been influenced” are significant predictors to “how the patients’ family think about patients’ life quality”. (7) Regarding to the attitudes of patients’ families, “attitudes toward truth telling” and “the treatment for terminal stage” are significant predictors to “attitudes towards terminal decision making”. (8) “The time interval from the first day of ICU admission to the day of interview” and “patients’ survival time” are significant predictors to “the family’s satisfaction of appropriate medical care”. (9) “The family’s satisfaction of appropriate medical care” and “patients’ survival time” are significant predictors to “ the familiy’s opinion of the patient’s good dying”. (10) “The family - patient relationship” and “attitudes toward terminal decision making” are significant predictors to “DNR agreement”.The results of this study can help medical professionals understand the factors and significant predictors of the terminal decision making by the family of the patients at ICU. It may facilitate us to implement appropriate nursing strategies for terminal patients at ICU and to reduce the medical cost. “Truth telling” is helpful for patients’ good dying.