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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.10
- 수록면
- 897 - 907 (11page)
- DOI
- 10.4143/crt.2021.327
이용수
초록· 키워드
오류제보하기
Purpose The “Act on Hospice and Palliative Care and Decisions on Life-Sustaining Treatment for Patients at the End-of-Life” was enacted on February 3, 2016 and went into effect on February 4, 2018 in Korea. This study reviewed the first year of determination to life-sustaining treatment (LST) through data analysis of the National Agency for Management of Life-Sustaining Treatment.
Materials and Methods The National Agency for Management of LST provided data between February 4, 2018 and January 31, 2019 anonymously from 33,549 patients. According to the forms patients were defined as either elf-determinants or family-determinants.
Results The median age of the patient was 73 and the majority was male (59.9%). Cancer patients were 59% and self-determinants were 32.1%. Cancer patients had a higher rate of self-determinants than non-cancer (47.3% vs. 10.1%). Plan for hospice service was high in cancer patients among self-determinants (81.0% vs. 37.5%, p < 0.001). In comparison to family-determinants, self-determinants were younger (median age, 67 years vs. 75 years; p < 0.001) and had more cancer diagnosis (87.1% vs. 45.9%, p < 0.001). Decision of withholding or withdrawing of LSTs in cancer patients was higher than non-cancer patients in four items.
Conclusion Cancer patients had a higher rate in self-determination and withholding or withdrawing of LSTs than non-cancer patients. Continued revision of the law and education of the public will be able to promote withdrawing or withholding the futile LSTs in patients at end-of-life. Further study following the revision of the law should be evaluated to change of end-of-life care.
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등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Heo DS / 2009 / Overview and current issues / Korean J Med 77(Suppl 4):S1026~S1034
고윤석 / 2011 / 연명치료 중지에 관한 지침의 특징과 쟁점 / 대한의사협회지 54(7):747~757
허대석 / 2009 / 환자의 자기결정권과 사전의료지시서 / 대한의사협회지 52(9):865~870
Oh DY / 2006 / CPR or DNR? End-of-life decision in Korea cancer patients : a single center’s experience / Support Care Cancer 14:103~108
Yun YH / 2004 / The attitudes of cancer patients and their families toward the disclosure of terminal illness / J Clin Oncol 22:307~314
고윤석 / 2011 / 연명치료 중지에 관한 지침의 특징과 쟁점 / 대한의사협회지 54(7):747~757
허대석 / 2009 / 환자의 자기결정권과 사전의료지시서 / 대한의사협회지 52(9):865~870
Oh DY / 2006 / CPR or DNR? End-of-life decision in Korea cancer patients : a single center’s experience / Support Care Cancer 14:103~108
Yun YH / 2004 / The attitudes of cancer patients and their families toward the disclosure of terminal illness / J Clin Oncol 22:307~314
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