Korean Journal of Medical Ethics
The Korean Society for Medical Ethics
Article

종합병원 간호사의 Do-Not Resuscitation 경험에 따른 연명치료중단 지식과 태도

김순자1, 김현숙1, 채영1, 김원정1, 강지숙2,*
Sun Ja KIM1, Hyun Sook KIM1, Young CHAE1, Won Jeong KIM1, Ji Sook KANG2,*
1원광대학교 의과대학병원 신경외과중환자실
2원광대학교 의과대학 간호학과
1NSICU, Wonkwang University School of Medicine & Hospital
2Department of Nursing, School of Medicine, Wonkwang University
*교신저자: 강지숙. 원광대학교 의과대학 간호학과. 063-850-6072. jskang@wku.ac.kr

ⓒ Copyright 2012 The Korean Society for Medical Ethics. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Oct 27, 2012; Accepted: Dec 08, 2012

Published Online: Dec 31, 2012

ABSTRACT

This study was designed to investigate how nurses’ experiences with DNR orders affects their knowledge of, and attitudes toward, the withdrawal of life-sustaining medical treatment. After receiving IRB approval, the 245 nurses who agreed to participate in this study completed a self-report questionnaire. The collected data were analyzed with PASW 18.0, which was used to measure frequency, percentage, mean, standard deviation, t-test, ANOVA and Pearson correlation coefficients. The major findings of this study were as follows. 1) The percentage of participants who had some experience with DNR orders was 35.1%. 2) The knowledge score concerning the withdrawal of life-sustaining treatment for nurses with DNR experience was significantly higher than that for nurses without DNR experience (t=2.319, p=0.021). 3) There was no significant difference in attitudes toward the withdrawal of life-sustaining treatment between the two groups of nurses. However, there were significant differences between the two groups on respect for family’s CPR decisions. 4) Higher knowledge scores were significantly related to lower attitude scores (r=-0.250, p<0.001) for the withdrawal of life-sustaining treatment. Nurses with DNR experience have greater knowledge about the withdrawal of life-sustaining treatment than nurses without such experience. Attitudes toward the withdrawal of life-sustaining treatment between these two groups of nurses differ only partially.

Keywords: 심폐소생술금지; 연명치료중단; 간호사
Keywords: do-not resuscitation; withdrawal of life-sustaining treatment; nurses