- 期刊
急救與不急救之間，你掙扎嗎？DNR簽署之探討
Will you confusion between first aid and non-first aid? Explore signing of DNR
摘要
人在接近重大疾病或傷害已經瀕臨生死邊緣時，通常醫生會依據其專業判斷該病患病程中死亡高或可恢復性的機率幾乎接近零時，需要病危的親屬（或本人先前之意願）決定是否拒絕實施維生醫療措施。此時會根據病患本身是否已簽署DNR（Do Not Resuscitate）不要進行心肺復甦術意願書，或透過親屬簽屬該同意書而賦予病患在死亡前可以選擇DNR的權力。DNR制度是根據我國訂立之安寧緩和條例於民國八十九年公布施行，雖然家屬在對於至親即將離開人世無法釋懷甚至認為有可能發生奇蹟的思維下總是非常掙扎無助，由於我國嚴重病患臥床平均年限不斷延長，此狀況對病患本人與照護者都造成不論是經濟上或身心上巨大的負擔，因此DNR的簽署有漸漸被接受的趨勢。本文除了探討DNR之內涵外，也設計一份問卷以了解國人對於DNR簽署的意願現況，並進一步設計量表得以讓病患或家屬在選擇是否簽屬DNR意願書時的參考。
並列摘要
We are facing major diseases and life-threatening injury then doctors rely on professional judgment who high probability of patient death or impossible to cure. The patient's relatives must make a decision about whether to carry out life-sustaining medical measures. At this time will be based on whether there is a signature the letter of intent of DNR that give patients the right to choose preform cardiopulmonary resuscitation before death. The DNR system legislative basis is tranquility mitigation regulations and announced and implemented in 2000. Family members are hard to accept the death of their loved ones and even looking forward to a miracle so stuck in a difficult choice. Due to severe illness cause a huge burden on economically and physically mentally. In recent years started to be accepted for DNR. The focus of this article in addition to discussing connotation of DNR also includes designing questionnaires in order to understand the current situation. We also designed a measurement table provide reference for decision makers to sign or not.