|
|
|
|
최윤선 ( Choi Youn-Seon ) - 고려대학교 의과대학 가정의학교실
이영미 ( Lee Young-Mee ) - 고려대학교 의과대학 가정의학교실
홍명호 ( Hong Myung-Ho ) - 고려대학교 의과대학 가정의학교실
김장욱 ( Kim Jang-Wook ) - 고려대학교 의과대학 가정의학교실
신승욱 ( Shin Seung-Wook ) - 고려대학교 의과대학 가정의학교실
이태호 ( Lee Tai-Ho ) - 고려대학교 의과대학 가정의학교실
|
|
Abstract
|
|
|
|
|
Background : Nowadays, it is possible to prolong the life. And to improve the quality of life of the dying patients, they need to receive not only the physical, pscychological, social and spiritual care but also comprehensive and continuous care. Also, doctors have to consider many ethical issues especially in the dying patients. The purpose of this study is to analyze the doctors’ attitude of those ethical issues and emphasize the importance of hospice.
Methods : During September 1996, doctors who worked for a university hospital participated in this study by responding to the pre-made questionnaire. It dealt with the most suffering pain, the preferred death place, the use of life maintaining equipments, the application of cardiopulmonary resuscitation(CPR) to terminal patients and the doctors’ experience and attitude euthanasia.
Results : ① The most suffering symptom in dying patients was pain(60.0%). ② The death place was recommended by doctors was home(58.8%) and hospital (15.4%) in order. ③ 56.9% of doctors answered ’the life maintaining equipments isn’t needed’, 29.2% of doctors answered’ according to the case’, and ’needed’ was 12.3%. ④ The application of CPR to the terminal patients, without the DNR chart, the only 15.4% of doctors answered "Do not CPR." But with the DNR chart, the percents of ’Do not CPR’ was increased to 69.2%. The resident group did more CPR than specialist group(p<0.01). ⑤ The 50.8% of doctors agreed with the passive euthanasia.
Conclusions : Many doctors follow the family member’s opinion in the ethical issues of the dying patients. Euthanasia is forbidden by the law in Korea, but many doctors agree with the passive euthanasia. Hospice can solve the debating ethical issues including the euthanasia.
|
|
|
KeyWords
|
|
안락사, 호스피스, 의료윤리
Euthanasia, Hospice, Cardiopulmonary resuscitation, Ethics
|
|
|
원문 및 링크아웃 정보
|
|
|
|
|
|
등재저널 정보
|
|
|
|
|
|
|
|