임종통고여부에 대한 의료진과 학생군의 태도

• 영문명: The Attitudes of Medical Staffs and Students toward Dying Patients
• 발행기관: 대한신경정신의학회
• 저자명: 양규봉 김영현
• 간행물 정보: 『신경정신의학』제24권 제4호, 553~567쪽, 전체 15쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1985.11.30

영문 초록

As the modern medicine advances with time, the chronic debilitating disease has become the leading cause of death, and the terminally ill and dying patients have been increased. So the management of dying patients has become an important problem in the medical practices and it is difficult for doctors to tell the patient that he or she is on dying. Whether to tell the truth or not truth or not, has been a major problem for the dying patients. The author conducted a research to investigate the attitudes of 222 medical staffs (93 medical doctors, 13 herb doctors and 116 hospital nurses) and 237 students (86 medical students, 50 herb medical students and 101 nursing students) toward the dying patients. Questionaire method was used for this study. The results were as follows. 1. The medical staffs (43% of medical doctors, 5A96 of herb doctors and 72% of hospital nurses) •and students (49% of medical students, M% of herb medical students and 58% of nursing students) replied that they preferred to tell the truth of the actual course of the terminal illness depending on the cases and circumstances. X 2 test showed that the difference of attitudes between the medical staffs and students (p < 0 .01) ， medical •doctors and hospital nurses (p < 0 .01), medical students and nursing students (p < 0 .05), and between herb medical students and nursing students (p < 0 .05) were statistically significant. But the difference between other subgroups were not statistically significant. The most common reason for telling the truth between medical staffs (42%) and students(69%) was that the patient should prepare for death psychologically. X 2 test about the reason for telling the truth showed that the difference between the medical staffs and students was not statistically significant, but the difference between the mediccal doctors and hospital nurses was statistially significant (p<0. 01). The most common reason for not to tell the truth between medical staffs and students (67%) was that the patients must be helped to continue treatment without giving up the hope for recovery. X2 test showed that the difference between the medical staffs and students and among the othe other subgroups were not statistically significant. 2. As for who should be the first informer to the patient in case of telling the truth, medical staffs (60% of medical doctors, 30% of herb doctors and 58% of hospital nurses) and students (62% of medical students, 46% of herb medical students and 50% of nursing students) replied that attending physician should be the first. But the herb doctors (54%) replied that the relatives should be the first. X 2 test showed the the difference between medical staffs and students was not statistically significant. The difference between medical doctors and herb doctors (p < 0 .05), and between medical students and herb medical students (p<0.05) were statistically significant, but the differences between other subgroups were not statistically significant. 63% of medical staffs and Tiᄋ/ᄋ of students replied that the method of telling the truth was “to take several days with step by step , but the herb doctors(77%) replied that the patient should be suggested that the condition is “just serious”, %2 test showed that the differences between the medical staffs and students(p<0.01), medical doctors and hospital nurses(p<0.01). herb doctors and hopital nurses (p < 0 .01), and between herb medical students and nursing students (p < 0 .05) were statistically significant, but the difference between other subgroups were not statistically significant. 3. As for the place of dying, both medical staffs (6396 of medical doctors, 6996 of herb doctors and 73% of hospital nurses) and students (74% of medical stude

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