Factors Associated With the Do-Not-Resuscitate Decision Among Surrogates of Elderly Residents at a Nursing Home in Taiwan
Background: Do-not-resuscitate (DNR) in nursing homes is an emerging advance directive in Taiwan, but little research has been conducted. The purpose was to determine the factors associated with signing a DNR directive in the largest hospital affiliated nursing home in Taiwan. Methods: A cross-secti...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)
2017-06-01
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| Series: | International Journal of Gerontology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1873959817301345 |
| _version_ | 1830460559417409536 |
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| author | Yi-Ping Tseng Lian-Hua Huang Tzu-Hsin Huang Li-Ling Hsu Suh-Ing Hsieh |
| author_facet | Yi-Ping Tseng Lian-Hua Huang Tzu-Hsin Huang Li-Ling Hsu Suh-Ing Hsieh |
| author_sort | Yi-Ping Tseng |
| collection | DOAJ |
| description | Background: Do-not-resuscitate (DNR) in nursing homes is an emerging advance directive in Taiwan, but little research has been conducted. The purpose was to determine the factors associated with signing a DNR directive in the largest hospital affiliated nursing home in Taiwan.
Methods: A cross-sectional survey was conducted using a convenience sample from a nursing home in northern Taiwan between January 2011 and January 2012. The demographic characteristics of elderly residents were collected. 213 family surrogates of elderly residents were interviewed using a self-developed structured questionnaire related to DNR issues. The data were analyzed via descriptive statistics and logistic regression analysis.
Results: Only 24/213 (11.3%) of elderly residents had the DNR directives. Of these, 20/24 (83%) were made by family surrogates. The factors significantly associated with the DNR decision included the elderly residents had severe brain injury (OR: 8.83, p = 0.023), pulmonary disease (OR: 7.24, p = 0.004), cancer (OR: 5.20, p = 0.045); the family surrogates believe in Buddhism (OR: 8.02, p = 0.030), and ever having discussed DNR with the resident (OR: 19.23, p < 0.001). This model explained 49.4% of the variance in whether or not a resident had a DNR directive.
Conclusions: The findings indicated the DNR decision was associated with residents' conditions and surrogates' factors. These information are helpful to medical personnel in nursing homes to better understand and to assist the DNR decision-making process. |
| first_indexed | 2024-12-21T11:14:11Z |
| format | Article |
| id | doaj.art-1c3233f6ef4e4be5b7f3d7af491d8727 |
| institution | Directory Open Access Journal |
| issn | 1873-9598 |
| language | English |
| last_indexed | 2024-12-21T11:14:11Z |
| publishDate | 2017-06-01 |
| publisher | Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) |
| record_format | Article |
| series | International Journal of Gerontology |
| spelling | doaj.art-1c3233f6ef4e4be5b7f3d7af491d87272022-12-21T19:05:58ZengTaiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)International Journal of Gerontology1873-95982017-06-01112959910.1016/j.ijge.2016.07.004Factors Associated With the Do-Not-Resuscitate Decision Among Surrogates of Elderly Residents at a Nursing Home in TaiwanYi-Ping Tseng0Lian-Hua Huang1Tzu-Hsin Huang2Li-Ling Hsu3Suh-Ing Hsieh4School of Nursing, College of Medicine, National Taiwan University, Taiwan, ROCSchool of Nursing, College of Medicine, National Taiwan University, Taiwan, ROCDepartment of Nursing, Chang Gung Memorial Hospital at Taoyuan, Chang Gung Medical Foundation, Taiwan, ROCDepartment of Nursing, Oriental Institute of Technology, Taiwan, ROCDepartment of Nursing, Chang Gung Memorial Hospital at Taoyuan, Chang Gung Medical Foundation, Taiwan, ROCBackground: Do-not-resuscitate (DNR) in nursing homes is an emerging advance directive in Taiwan, but little research has been conducted. The purpose was to determine the factors associated with signing a DNR directive in the largest hospital affiliated nursing home in Taiwan. Methods: A cross-sectional survey was conducted using a convenience sample from a nursing home in northern Taiwan between January 2011 and January 2012. The demographic characteristics of elderly residents were collected. 213 family surrogates of elderly residents were interviewed using a self-developed structured questionnaire related to DNR issues. The data were analyzed via descriptive statistics and logistic regression analysis. Results: Only 24/213 (11.3%) of elderly residents had the DNR directives. Of these, 20/24 (83%) were made by family surrogates. The factors significantly associated with the DNR decision included the elderly residents had severe brain injury (OR: 8.83, p = 0.023), pulmonary disease (OR: 7.24, p = 0.004), cancer (OR: 5.20, p = 0.045); the family surrogates believe in Buddhism (OR: 8.02, p = 0.030), and ever having discussed DNR with the resident (OR: 19.23, p < 0.001). This model explained 49.4% of the variance in whether or not a resident had a DNR directive. Conclusions: The findings indicated the DNR decision was associated with residents' conditions and surrogates' factors. These information are helpful to medical personnel in nursing homes to better understand and to assist the DNR decision-making process.http://www.sciencedirect.com/science/article/pii/S1873959817301345do-not-resuscitateelderly residentnursing homesurrogate |
| spellingShingle | Yi-Ping Tseng Lian-Hua Huang Tzu-Hsin Huang Li-Ling Hsu Suh-Ing Hsieh Factors Associated With the Do-Not-Resuscitate Decision Among Surrogates of Elderly Residents at a Nursing Home in Taiwan International Journal of Gerontology do-not-resuscitate elderly resident nursing home surrogate |
| title | Factors Associated With the Do-Not-Resuscitate Decision Among Surrogates of Elderly Residents at a Nursing Home in Taiwan |
| title_full | Factors Associated With the Do-Not-Resuscitate Decision Among Surrogates of Elderly Residents at a Nursing Home in Taiwan |
| title_fullStr | Factors Associated With the Do-Not-Resuscitate Decision Among Surrogates of Elderly Residents at a Nursing Home in Taiwan |
| title_full_unstemmed | Factors Associated With the Do-Not-Resuscitate Decision Among Surrogates of Elderly Residents at a Nursing Home in Taiwan |
| title_short | Factors Associated With the Do-Not-Resuscitate Decision Among Surrogates of Elderly Residents at a Nursing Home in Taiwan |
| title_sort | factors associated with the do not resuscitate decision among surrogates of elderly residents at a nursing home in taiwan |
| topic | do-not-resuscitate elderly resident nursing home surrogate |
| url | http://www.sciencedirect.com/science/article/pii/S1873959817301345 |
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