The intention and influencing factors of Do Not Resuscitate Directives among caregivers of older out-patients with dementia: A survey from medical center in Southern Taiwan
碩士 === 國立成功大學 === 老年學研究所 === 104 === Dementia is a progressive disease that ultimately leads to death. To improve the quality of care for patients with dementia (PwD), end-of-life care plan must begin as early as possible when the patient is still communicable. In this study, we investigated the pre...
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| Format: | Others |
| Language: | zh-TW |
| Published: |
2016
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| Online Access: | http://ndltd.ncl.edu.tw/handle/hrv242 |
| Summary: | 碩士 === 國立成功大學 === 老年學研究所 === 104 === Dementia is a progressive disease that ultimately leads to death. To improve the quality of care for patients with dementia (PwD), end-of-life care plan must begin as early as possible when the patient is still communicable. In this study, we investigated the prevalence of do not resuscitate intention and influencing factors among family surrogates of PwD. A descriptive and cross-sectional study with chart review and questionnaire survey was conducted. Subjects were recruited from a Dementia Out-patient Clinic of a teaching hospital in southern Taiwan. Data were analyzed by correlation and multiple logistic regressions. Findings of this study indicated that factors influencing families’ intention of DNR for their dementia relatives were: psychological symptoms of repetitive wording and behavior; spouse and immediate relatives of patient; previous discussion between family and patient about DNR policy. However, DNR policy is less acceptable for western religious believers (Christianism or Catholicism) than those of Taiwanese folk religious believers (Buddhism or Taoism). Our study showed that spouse and immediate relatives of PwD are more likely to agree DNR for patient. Discussion of DNR policy with patients while they are still communicable can help key families to accept DNR policy. Early education to patients and their key families about DNR policy is important to promote the advance directive of DNR for PwD and improve quality of end-of-life care of this group of patients.
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