The quality of dying and death for patients in intensive care units: a single center pilot study.
| Autor: | Choi Y; Department of Burn and Critical Care, Bestian Hospital, Osong, Korea., Park M; Department of Internal Medicine, Daejeon Veterans Hospital, Daejeon, Korea., Kang DH; Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chungnam National University Hospital, Daejeon, Korea., Lee J; Hospital Ethics Committee, Chungnam National University Hospital, Daejeon, Korea., Moon JY; Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chungnam National University Hospital, Daejeon, Korea., Ahn H; Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea. |
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| Jazyk: | angličtina |
| Zdroj: | Acute and critical care [Acute Crit Care] 2019 Aug; Vol. 34 (3), pp. 192-201. Date of Electronic Publication: 2019 Apr 08. |
| DOI: | 10.4266/acc.2018.00374 |
| Abstrakt: | Background: To identify the necessary care for dying patients in intensive care units (ICUs), we designed a retrospective study to evaluate the quality of dying and death (QODD) experienced by the surrogates of patients with medical illness who died in the ICU of a tertiary referral hospital. Methods: To achieve our objective, the authors compared the QODD scores as appraised by the relatives of patients who died of cancer under hospice care with those who died in the ICU. For this study, a Korean version of the QODD questionnaire was developed, and individual interviews were also conducted. Results: Sixteen people from the intensive care group and 23 people from the hospice care group participated in the survey and completed the questionnaire. The family members of patients who died in the ICU declined participation at a high rate (50%), with the primary reason being to avoid bringing back painful memories (14 people, 87.5%). The relatives of the intensive care group obtained an average total score on the 17-item QODD questionnaire, which was significantly lower than that of the relatives of the hospice group (48.7±15.5 vs. 60.3±14.8, P=0.03). Conclusions: This work implies that there are unmet needs for the care of dying patients and for the QODD in tertiary hospital ICUs. This result suggests that shared decision making for advance care planning should be encouraged and that education on caring for dying patients should be provided to healthcare professionals to improve the QODD in Korean ICUs. Competing Interests: CONFLICT OF INTEREST No potential conflict of interest relevant to this article was reported. (Copyright © 2019 The Korean Society of Critical Care Medicine.) |
| Databáze: | MEDLINE |
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