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首页> 外文期刊>Risk Management and Healthcare Policy >Association Between the Communication Skills of Physicians and the Signing of Do-Not-Resuscitate Consent for Terminally Ill Patients in Emergency Rooms (Cross-Sectional Study)
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Association Between the Communication Skills of Physicians and the Signing of Do-Not-Resuscitate Consent for Terminally Ill Patients in Emergency Rooms (Cross-Sectional Study)

机译：医生沟通技巧与急诊室患者患者的沟通技巧与签署的关联（横断面研究）

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Background: The signing of do-not-resuscitate (DNR) consent is mandatory in providing a palliative approach in the end-of-life care for the terminally ill patients and requires an effective communication between the physician and the patients or their family members. This study aimed to investigate the association between the communication skills of physicians who participated in the SHARE (supportive environment, how to deliver the bad news, additional information, reassurance, and emotional support) model course on the patient notification and the signing of do-not-resuscitate (DNR) consent by the terminally ill patients at emergency rooms. Methods: Between May 1, 2017 and April 30, 2018, a total of 109 terminally ill patients were enrolled in this study, of which 70 had signed a DNR and 39 had not. Data regarding the patients’ medical records, a questionnaire survey completed by family members, and patient observation forms were used for the assessment of physicians’ communication skills during patient notification. The observation form was designed based on the SHARE model. A multivariate logistic regression model was applied to identify the independent significant factors of the patient and family member variables as well as the four main components of the observation form. Results: The results revealed that knowing how to convey bad news and providing reassurance and emotional support were significantly correlated with a higher rate of signing DNR consent. Additionally, physician-initiated discussion with family members and a predicted limited life expectancy were negative independent significant factors for signing DNR consent. Conclusion: This study revealed that good communication skills help to increase the signing of DNR consent. The learning of such skills from attendance of the SHARE model course is encouraged for the physicians in the palliative care of terminally ill patients in an emergency room.
机译：背景：签署Do-Not-Respitate（DNR）同意是强制性的，在为终身病患者的终身护理中提供姑息性方法，需要医师和患者或其家庭成员之间有效沟通。本研究旨在调查参加股份（支持环境，如何提供患者通知和签署的股份（支持环境，如何提供错误新闻，附加信息，保证和情感支持）模型课程之间的沟通技巧之间的关联。在急诊室的终端生病的患者不复苏（DNR）同意。方法：2018年5月1日至2018年4月30日之间，本研究共有109名患有109名患者，其中70名已签署DNR，39尚未。关于患者医疗记录的数据，由家庭成员完成的调查问卷调查，患者观察表格用于评估患者通知期间的医生沟通技巧。观察表格是根据股东设计的。应用多变量逻辑回归模型来识别患者和家庭成员变量的独立重大因素以及观察形式的四个主要组成部分。结果：结果表明，了解如何传达坏消息，并提供保证和情感支持与更高的签署DNR同意率明显相关。此外，与家庭成员的医生发起的讨论和预测的有限预期寿命是签署DNR同意的负面独立的重要因素。结论：本研究表明，良好的沟通技能有助于增加DNR同意的签署。从急诊室中核心病患者姑息治疗的医生们对股东课程出席股东课程的这种技能的学习。

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