Effectiveness of advance directives for the care of terminally ill patients in Chiang Mai University Hospital, Thailand.

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 Sci

authors

Sittisombut S,Maxwell C,Love EJ,Sitthi-Amorn C

doi

10.1111/j.1442-2018.2007.00371.x

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

37-42

issue

1

eissn

1441-0745

issn

1442-2018

pii

NHS371

journal_volume

10

pub_type

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