Abstract:
:The key hypothesis behind advance directives (ADs) proposes that, if an intervention enhances a person's right to choose, a dying person will not opt for expensive, life-prolonging medical care and an ethically acceptable saving of resources will result. In order to assess the acceptability and effectiveness of ADs in reducing cardiopulmonary resuscitation (CPR) attempts and in-hospital death among terminally ill patients in a tertiary care hospital in northern Thailand, a non-randomized, controlled intervention study using an after-only unequivalent control group design was conducted. The majority of the subjects and the surrogates preferred to employ ADs in expressing their preferences on CPR and there was a high level of agreement between the subjects and surrogates on the decision. The use of ADs appeared to be effective in reducing futile CPR attempts and the in-hospital mortality rate among subjects during the index hospitalization. Advance directives were accepted well in this study setting.
journal_name
Nurs Health Scijournal_title
Nursing & health sciencesauthors
Sittisombut S,Maxwell C,Love EJ,Sitthi-Amorn Cdoi
10.1111/j.1442-2018.2007.00371.xsubject
Has Abstractpub_date
2008-03-01 00:00:00pages
37-42issue
1eissn
1441-0745issn
1442-2018pii
NHS371journal_volume
10pub_type
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