의사들의 호스피스 관리에 대한 임상적인 접근
= A Clinical Approach to Hospice Care of Doctors'

• 자명

  손현화 ,유기동 ,서영선 ,김태균 ,김양수 ,정재용 ,박유환 ,정춘해 ,홍승민 ,전제열 ,이상운

• 학술지명

  The Medical Journal of Chosun University

• 권호사항

  Vol.24 No.2 [1999]

• 발행처

  조선대학교 부설 의학연구소

• 자료유형

  학술저널

• 수록면

  129-138(10쪽)

• 언어

  Korean

• 발행년도

  1999년

• KDC

  510

• 주제어

  Hospice care ,Terminal cancer

• 
  

• 초록 (Abstract)
  • Background: Cancer has become the major cause of death in Korea. Doctors who treat terminal cancer come across problems which are too difficult to solve. These problems are related with religious, moral and legal problems. These problems are easy death, patients' or family' s refuse of treatment, practice of cardiopulmonary resuscitation(CPR) in terminal cancer, definition of death and so forth. In Korea, studies related with terminal cancer patients and the doctors who treat them are very rare and the hospice system for terminal cancer patients is not organized yet.
    Objectives: The aim of this study was to identify the opinions of doctors who treat terminal cancer about these problems. Materials ðod: This study was performed on 90 doctors working at Chosun university hospital, who are divided in to three parts as staff, residents and interns. We used questionares related with the above problems, composed of 19 items and six general characteristics. We could confirm 75 questionaires.
    Results &onclusion: For the question "ve terminal cancer patients was announced their diagnosis and prognosis?"hat was most important to doctors was patients' opinions and the second was their family' s. For the question "eatment which could prolong the life of terminal cancer patients who are unnconscious is performed?"doctors showed a negative opinion. About the easy death of terminal cancer patients, more than half the doctors showed agreement. The prohibition of CPR in terminal cancer patients was agreed by 40%. For the question about the definition of death in terminal cancer patients 76.1% doctors agreed it was brain death. 85.7% subjects answered that they felt moral enmity in treatment of terminal cancer patients. In Korea, the programs for these problems are very poor, and the results of this study can affect the formation of systems and laws about the terminal cancer patients and the doctor's treatment. National support for terminal cancer patients and the hospice care system is required.