• 보건의료산업학회지
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• 제10권3호
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• pp.99-111
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• 2016

Objectives : This study developed an iPad-based animation for an electronic informed consent to directly help patients prepare an informed consent. The goal was to raise patients' understanding about the contents contained in a DNR informed consent in the current medical situation in which DNR informed consents are mostly written by a guardian. Methods : The development of a DNR electronic informed consent was done in 3 stages: analysis, design and development. The analysis stage was done with a survey on the real status of preparing a DNR informed consent in a medical institution. The design stage was done with the contents in the DNR electronic informed consent through a primary and secondary Delphi survey. The development stage created a DNR electronic informed consent and evaluated it through a tertiary Delphi survey. Results : After evaluating the appropriateness of the composition of the contents, the understanding of the contents, the convenience of use, the reflection of an expert opinion, and the suitability of the application, all had scores higher than 4 points. Conclusions : The results of this study show that our proposed DNR electronic informed consent can help patients better understanding the contents of a DNR informed consent.

• 디지털융복합연구
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• 제13권11호
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• pp.187-196
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• 2015

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.

• 임상간호연구
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• 제16권3호
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• pp.73-84
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• 2010

Purpose: The purpose of this study was to investigate the ethical awareness and attitude of patients' families towards Do-Not-Resuscitate(DNR), and thus provide basic information required to develop Korean appropriate DNR instructions and practice informed consent for DNR. Methods: During April 2010, 219 patient family members visiting the hospital were surveyed using a questionnaire. Results: Most of the participants preferred DNR to meaningless treatment for incurable patients. They recognized the necessity of explaining DNR to the patient with a terminal disease. They also requested DNR orders for themselves if they were in the same medical condition. In making a DNR decision, the patient's family agreed and preferred that it reflect the opinion of the patient and the doctor in charge. They also agreed that treatment should be given with the best efforts even if a DNR decision had been made for the patient. Conclusion: To make a decision on DNR for a patient who is terminally ill or for whom survival is not possible, a practice of informed consent and guidelines for executing the DNR reflecting the patient's opinion are required.