Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Application of Animation Mobile Electronic Informed Consent in Inpatient of Long-term Care Hospital: Focused on DNR Informed Consent

요양병원 입원환자의 애니메이션 모바일 전자동의서 적용: DNR 동의서를 중심으로

  • Park, Ji-Kyeong (Dept. of Healthcare Management, Dongeui University) ;
  • Kim, Ji-On (Dept. of Healthcare & Medical Administration, Dong-Pusan College)
  • 박지경 (동의대학교 의료경영학과) ;
  • 김지온 (동부산대학교 보건의료행정과)
  • Received : 2015.08.21
  • Accepted : 2015.11.20
  • Published : 2015.11.28
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Abstract

The purpose of this study was to examine the understanding of contents and the convenience of use of the DNR animation mobile electronic informed consent. The subjects in this study were inpatients of long-term care hospital. As for data analysis, a statistical package SPSS 21.0K was employed. The findings of the study were as follows: First, DNR choice was 33.0%, CPR choice was 54.0% in case of the outbreak of cardiac arrest. Their principal diagnosis made statistically significant differences to their choice of DNR and CPR. Second, they got 2.50 in the understanding of the content of the DNR electronic informed consent, and got 2.37 in the convenience of use. Given the findings of the study, the DNR animation electronic informed consent is expected to help patients to have a better understanding of contents, to make their decision to choose DNR or CPR, and to sign the DNR informed consent forms themselves.

본 연구는 요양병원 입원환자를 대상으로 애니메이션 모바일 DNR 전자동의서를 적용한 후, DNR 전자동의서의 내용이해도와 사용편리성을 평가하고자 시도되었다. 2014년12월1일부터 16일까지 요양병원 입원환자 100명을 대상으로 DNR 전자동의서를 적용하였으며, 자료분석은 SPSS 21.0K를 이용하여 빈도분석, 교차분석, t-test와 ANOVA를 실시하였다. 연구결과는 첫째, 향후 심정지가 발생했을 때, DNR 선택 33.0%, CPR 선택 54.0%로 나타났으며, 주진단에 따른 DNR과 CPR 선택에 통계적으로 유의한 차이가 있었다. 둘째, DNR 전자동의서의 내용이해도는 2.50점, 사용편리성은 2.37점이었다. 이상의 연구 결과를 근거로 애니메이션 전자동의서가 동의서 내용에 대한 이해를 높여서 환자 스스로 DNR 및 CPR 시행을 결정하고, DNR 동의서를 직접 작성하는데 도움을 줄 수 있을 것으로 사료된다.

Keywords

References

  1. Eun-A Cho, Myung-Sook Kim, Kye-Ha Kim, Recognition and Satisfaction of the Electronic Medical Record among Nurses of a Local Hospital. Nursing Science, Vol. 21, No. 2, pp. 1-11, 2009.
  2. Adams, W. G., Mann, A. M., & Bauchner, H., Use of an electronic medical record improves the quality of urban pediatric primary care. Pediatrics, Vol. 111, No. 3, pp. 626-632, 2003. https://doi.org/10.1542/peds.111.3.626
  3. Chaudhry, B., Wang, J., Wu, S., Maglione, M., Mojica, W., & Roth, E. et al., Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Annals of Internal Medicine, Vol. 144, No. 10, pp. 742-752, 2006. https://doi.org/10.7326/0003-4819-144-10-200605160-00125
  4. Kyoung-Ah Hong, Jae-Young Oh, Ki-Hyun Um, Sang-Man Kim, A Study on the Factors Affecting EMR System Users' Satisfaction: Focused on the EMR Systems Operated by Large-Scale Hospitals. Health Service Management Review, Vol. 3, No. 2, pp. 76-87, 2009.
  5. H. Y. Yi, J. Y. Lee, The Effect of Video-assisted Informed Consent for Central Venous Catheterization in the Emergency Department. Journal of The Korean Society of Emergency Medicine, Vol. 21, No. 6, pp. 815-824, 2010.
  6. Madathil, K. C, Koikkara, R., Obeid, J., Greenstein, J. S., Sanderson, I. C., Fryar, K., et al., An investigation of the efficacy of electronic consenting interfaces of research permissions management system in a hospital setting. International journal of medical informatics, Vol. 82, No. 9, pp. 854-863, 2013. https://doi.org/10.1016/j.ijmedinf.2013.04.008
  7. Nehme J, El-Khani U, Chow A, Hakky S, Ahmed AR, Purkayastha S., The use of multimedia consent programs for surgical procedures: a systematic review. Surgical innovation, Vol. 20, No. 1, pp. 13-23, 2013. https://doi.org/10.1177/1553350612446352
  8. Sonne, S. C., Andrews, J. O., Gentilin, S. M., Oppenheimer, S., Obeid, J., Brady, K., et al., Development and pilot testing of a video-assisted informed consent process. Contemporary Clinical Trials, Vol. 36, No. 1, pp. 25-31, 2013. https://doi.org/10.1016/j.cct.2013.05.011
  9. Rowbotham, M. C., Astin, J., Greene, K., Cummings, S. R., Interactive Informed Consent: Randomized Comparison with Paper Consents. PLoS One, Vol. 8, No. 3, 2013.
  10. Yon-Ok Park, The Experience of Family Members on Deciding to Withdraw Life-Sustaining Treatment for Patients Who are Terminally Ill. The Graduate School of Yonsei University, A Doctor's Thesis, 2003.
  11. Y. S. Koh, Withdrawal of Life Sustaining Treatment in Terminal Patients. Journal of the Korean Medical Association, Vol. 45, No. 6, pp. 650-652, 2002.
  12. Sung-Suk Han, Joong-Ho Kim, In-Sung Moon, Jin-Sun Yong, Proposal of "request and order form" of Do Not Resuscitate(DNR). Journal of the Korea Bioethics Association, Vol. 6, No. 1, pp. 49-67, 2005.
  13. Eun-Hee Kang, Experiences after Bereavement of the Main Family Member in DNR Decisions: A Grounded Theory Approach. The Graduate School of Pusan University, A Doctor's Thesis, 2011.
  14. Myung-Sun Yi, Sang-Eun Oh, Eun-Ok Choi, In-Gak Kwon, Kwon, Sung-Bok, Kyung-Mi Cho, et al., Hospital Nurses' Experience of Do-Not-Resuscitate in Korea. Journal of Korean Academy of Nursing, Vol. 38, No. 2, pp. 298-309, 2008. https://doi.org/10.4040/jkan.2008.38.2.298
  15. Simpson. SH, A study into the uses and effects of do-not-resuscitate orders in the intensive care units of two teaching hospitals. Intensive and Critical Care Nursing, Vol. 10, No. 1, pp. 12-22, 1994. https://doi.org/10.1016/0964-3397(94)90074-4
  16. Wilson M., Highlighting the Role of Policy in Nursing Practice Through a Comparison of "DNR" Policy Influences and "No CPR" Decision Influences. Nursing Outlook, Vol. 44, No. 6, pp. 272-279, 1996. https://doi.org/10.1016/S0029-6554(96)80083-2
  17. Myong-Sei Sohn, Health & Medical Technology R&D Program: The Development of Guideline for Withdrawal of Life-Sustaining Treatment and Its Decision-Making Process. Ministry of Health and Welfare, 2005.
  18. Hyoung-Suk Kim, The Review for the Problem with Decision-Making in Medical Context: Focusing on Concept of Autonomy Personalism Bioethics, Vol. 1, No. 1, pp. 85-108, 2011.
  19. Byoung-Yong Shim, Seok-In Hong, Jin-Min Park, Hong-Joo Cho, Jong-Sun Ok, Seon-Young Kim, Sun-Ae Han, et al., DNR (Do-Not-Resuscitate) Order for Terminal Cancer Patients at Hospice Ward. Korean Journal of Hospice and Palliative Care, Vol. 7, No. 2, pp. 232-237, 2004.
  20. J. Y. Moon, Y. S. Shin, The End-of-Life Care in the Intensive Care Unit. The Korean Society of Critical Care Medicine, Vol. 28, No. 3, pp. 163-172, 2013. https://doi.org/10.4266/kjccm.2013.28.3.163
  21. Y. J. Lee, H. S. Lee, An Integrative Review of Do-Not-Resuscitate Decisions: focused on Korean Data after 2010. Journal of the Korean Bioethics Association, Vol. 14, No. 2, pp. 41-52, 2013.
  22. Hyeon-Ah Kim, An Ethnography on Joys and Sorrows of Nurses Caring For DNR Patients ICU. The Graduate School of Kyung Hee University, A Doctor's Thesis, 2013.
  23. Ji-Kyeong Park, Development of Do-Not- Resuscitate(DNR) Electronic Informed Consent Model for Inpatient of Long-term Care Hospital. The Graduate School of Catholic University of Pusan, A Doctor's Thesis, 2015.
  24. Mi-Hi Lee, Hee-Sun Kang, The Relationship among Attitude toward DNR Orders, Depression and Self-esteem in the Elderly. Journal of the Korean Gerontological Society, Vol. 27, No. 2, pp. 323-334, 2007.
  25. Ji-Ae Lee, The Study on Medical Personnel's Perceptions of the Advanced directive about the Withdrawal of Meaningless Life-Sustaining Treatment of the Terminal Cancer Patients: Focus Group Interview Analysis. The Graduate School of Korea University, A Master's Thesis, 2009.
  26. J. K. Lee, K. H. Cho, J. W. Won, H. R. Lee, Survey on the experience and the attitude of training residents about DNR orders in tertiary teaching hospitals. Korean Journal of Family Medicine, Vol. 15, No. 6, pp. 322-332, 1994.
  27. Soon-Young Park, Comparison of attitude about death and perception about DNR between the elderly residing institution and home. The Graduate School of Kyoung Hee University, A Master's Thesis, 2013.
  28. Hee-Sook Shin, A Study on General Population's insight & attitude toward Do-Not-Resuscitate. The Graduate School of Hanyang University, A Master's Thesis, 2013.
  29. Seo-Yun Park, Ethical Attitudes and Perception of DNR for the Elderly among Nurses, Doctors and Patient Family. The Graduate School of Hanyang University, A Master's Thesis, 2011.
  30. Kyung-Ok Song, Hyun-Sook Jo, Ethical Awareness and Attitudes of Patients' Families towards DNR(Do-Not-Resuscitate). Journal of Korean Clinical Nursing Research, Vol. 16, No. 3, pp. 73-84, 2010.
  31. Ki-Hyun Kim, Comparison of the Response of Lung Cancer Patients, Family Members, Doctors, and Nurses about Advance Directives of Lung Cancer Patients. The Graduate School of Kyung Hee University, A Master's Thesis, 2010.
  32. Der-Sheng Son, The Recognition towards Advance Directives in Hospice cancer patients and Medical doctors. The Graduate School of Catholic University, A Master's Thesis, 2008.
  33. Sun-Hee Kim, Experiences of Patients and Nurses Regarding the Use of Electronic Informed Consent. The Graduate School of Chung-Ang University, A Master's Thesis, 2014.