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首页> 外文期刊>Journal of critical care >Canadian nurses' and respiratory therapists' perspectives on withdrawal of life support in the intensive care unit.
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Canadian nurses' and respiratory therapists' perspectives on withdrawal of life support in the intensive care unit.

机译：加拿大护士和呼吸治疗师对重症监护病房撤回生命支持的观点。

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Abstract Purpose To describe perspectives of nurses (RNs) and respiratory therapists (RTs) related to end-of-life care for critically ill patients. Methods For patients who had life support withdrawn in 4 Canadian university-affiliated ICUs, RNs and RTs reported their comfort level with decision making and process for 14 aspects of end-of-life care. Results Ninety-eight patients had life support withdrawn. Responses were received from 96 (98.0%) bedside RNs and 73 (74.5%) RTs. Most RNs (85/94, 90.4%) and RTs (50/73, 68.5%) were very comfortable with decisions to withhold cardiopulmonary resuscitation or to withdraw life support (83/94, 88.3% of RNs and 56/73, 76.7% of RTs). Most RNs (range 71.3%-80.65%) and RTs (60.0%-70.8%) were very comfortable with ventilation/oxygen withdrawal and sedation. Among paired responses for 72 (73.5%) of 98 patients, RTs rated less favorably than RNs ( P < .05): the quality of the physician explanation of the life support withdrawal process, the availability of the physician, the peacefulness of the dying process, and the amount of privacy for families. Suggested improvements included earlier and more inclusive discussions, clearer plans, and better preparation of families and the ICU team for patients' deaths. Conclusions Most RNs and RTs were comfortable with decision making and the process of life support withdrawal, but they suggested several ways to improve end-of-life care.
机译：摘要目的描述与危重病人临终关怀有关的护士和呼吸治疗师的观点。方法对于在加拿大4家加拿大大学附属ICU中撤回生命支持的患者，RN和RT报告了其舒适水平，并就生命终止护理的14个方面进行了决策和制定了程序。结果98例患者的生命支持被撤回。从96个（98.0％）床旁RN和73个（74.5％）RT接受了回应。大多数RN（85/94，90.4％）和RT（50/73，68.5％）对于决定停用心肺复苏或撤回生命支持感到非常满意（83/94，RN的88.3％和56 / 73，76.7％） RTs）。大多数RN（71.3％-80.65％的范围）和RT（60.0％-70.8％）的通气/吸氧和镇静效果非常好。在98位患者中有72位（73.5％）的配对反应中，RTs的评分低于RNs（P <.05）：医生对生命支持退出过程的解释质量，医生的可获得性，垂死者的安宁流程，以及家庭的隐私量。建议的改进措施包括更早和更广泛的讨论，更清晰的计划以及为患者死亡而更好的家庭和ICU团队准备。结论大多数RN和RT都对决策和撤回生命支持的过程感到满意，但他们提出了几种改善临终关怀的方法。

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