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首页> 外文期刊>Palliative care. >Examining Do-Not-Resuscitate Orders among Newly Admitted Residents of Long-term Care Facilities
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Examining Do-Not-Resuscitate Orders among Newly Admitted Residents of Long-term Care Facilities

机译：在长期护理机构的新入院居民中检查不复活令

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Do-not-resuscitate (DNR) orders are an important part of advance directives. To date, little is known about DNR orders in Ontario's long-term care (LTC) facilities. The Canadian Institute for Health Information (CIHI) stated that in between 2011 and 2012, there were more than 32,000 discharges from Ontario's LTC facilities, 44% of which resulted from death. This study examined DNR orders in LTC homes in Ontario. The sample includes all LTC residents receiving care between 2010 and 2012. Data provided by the CIHI were collected using the Canadian version of the Resident Assessment Instrument. The data included administrative assessments on health of 112,746 residents. The average age of LTC residents in this study was 84.5 years, and about 70% were female residents. Results showed that residents admitted from home were less likely to have a DNR order on file during assessment and three months later. Residents whose families were responsible for care were more likely to have DNR orders when admitted, but this effect was not found at three-month follow-up. Residents who were in end-stage diseases were more likely to have completed DNR orders upon admission to LTC facilities. The presence of a health condition (eg frailty, depression, heart condition, pulmonary or psychiatric condition) increased the likelihood of residents having DNR orders when admitted to LTC facilities. Residents whose conditions were deteriorating were more likely to have completed DNR orders before the three-month follow-up. In conclusion, this study represents an important step in identifying issues related to DNR orders in LTC facilities. The factors that influence whether residents have DNR orders on file upon admission depend on the presence of family members, whether the residents are designated as end-of-life cases (six months or less), older age, and health. Discussions about resuscitation are an important part of care plans.
机译：请勿重复使用（DNR）指令是高级指令的重要组成部分。迄今为止，对于安大略省的长期护理（LTC）设施中的DNR订单知之甚少。加拿大健康信息研究所（CIHI）表示，在2011年至2012年之间，安大略省的LTC设施排放了超过32,000笔废物，其中44％是死于死亡。这项研究检查了安大略省LTC家中的DNR订单。该样本包括2010年至2012年期间接受护理的所有LTC居民。CIHI提供的数据是使用加拿大版的《居民评估工具》收集的。数据包括对112,746名居民的健康状况的行政评估。在这项研究中，LTC居民的平均年龄为84.5岁，其中约70％是女性居民。结果表明，在评估期间和三个月后，从家中入院的居民不太可能收到DNR指令。入院时由其家庭负责的居民更有可能接受DNR指令，但在三个月的随访中未发现这种影响。处于晚期疾病的居民在进入LTC设施后更有可能完成DNR命令。健康状况（例如虚弱，抑郁，心脏状况，肺部或精神疾病）的存在增加了住院患者进入LTC设施时接受DNR指令的可能性。病情恶化的居民更有可能在三个月的随访之前完成DNR订单。总之，这项研究代表了确定与LTC设施中的DNR订单有关的问题的重要步骤。影响居民入院时是否有DNR命令的因素取决于家庭成员的存在，是否将居民指定为临终病例（六个月或更短），年龄较大以及健康状况。关于复苏的讨论是护理计划的重要组成部分。

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