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頁籤選單縮合
題 名 | 心肺復甦術對老年病患之成效與相關因素探討=Outcome of CPR in the Elderly and Its Associated Factors |
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作 者 | 羅玉岱; 潘輝民; 張士琨; 劉立凡; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷 期 | 3:4 2008.11[民97.11] |
頁 次 | 頁248-261 |
分類號 | 415.22 |
關鍵詞 | 心肺復甦術; 老年病患; 成效; 存活至出院率; Cardiopulmonary resuscitation; Elderly patient; Outcome; Survival to discharge; CPR; |
語 文 | 中文(Chinese) |
中文摘要 | 心肺復甦術是拯救無價生命的醫療行為,但是對老年病患其成效仍未 明確,研究顯示心肺復甦術的成功率隨著年齡增加而降低,亦有研究將 此效應歸因於老年病患疾病診斷的特殊性與共同罹病性。由於心肺復甦 術可能造成嚴重的傷害與痛苦,因此是否應對心臟停止的老年病患施行 心肺復甦術,臨床醫療工作者常面臨決策與倫理的困境。唯有釐清心肺 復甦術對老年病患之成效與相關因素,基於行善與不傷害原則加以評估 ,選擇最合適的治療與處理,拯救無價生命與避免無效醫療之傷害,才 能脫離上述困境。本文以文獻回顧的方式,探討心肺復甦術對老年病患 之成效與相關因素,並說明病患自主權、事前溝通以及依法簽署不施行 心肺復甦術意願書(同意書)的重要性。總之,高齡並非施行心肺復甦術絕 對的障礙,必須同時考慮發生心臟停止的地點、心臟停止時的心律、有 無旁人目睹、開始復甦與復甦所需的時間、老年病患的疾病診斷與功能 狀態等因素,以便達成心肺復甦術維持生命、重建健康、減輕痛苦及預 防殘障的目標。盼藉本文作為臨床醫療工作人員執業與醫病溝通時的參 考依據,提供台灣老年病患更有品質的照顧。 |
英文摘要 | Cardiopulmonary resuscitation (CPR) is a unique life-sustaining intervention whose effectiveness in elderly patients remains questionable. Several studies have indicated the poor outcomes of CPR on elderly patients, while others argue that age is not the sole determinant factor. When performing CPR, healthcare professionals often find themselves in a moral dilemma for fear of imposing possible harm on the frail elderly. Understanding critical factors that influence the outcomes of CPR on elderly patients based on principles of beneficence and nonmaleficence in medical ethics is necessary to help healthcare professionals deliver morally appropriate medical procedure. This article reviewed relevant literature systematically and tried to find evidence for outcomes of CPR for the elderly and its favorable factors. In addition, the importance of communication in advance, patients’ autonomy and preference for resuscitation prior to life-threatening emergencies was discussed. Aged should not be taken as the excuse for not resuscitating on elderly patient without considering location of cardiac arrest, rhythm of arrest, witnessed arrest or not, duration of CPR, and the functional status with comorbidities of patients. Better outcomes of CPR would be expected under careful consideration and selection of its favorable factors for elderly patients. It is not until we understand the favorable factors of CPR for elderly patients and perform good physician-patient communication can we provide elderly patients in our country with quality care. |
本系統中英文摘要資訊取自各篇刊載內容。