STABILITY OF PATIENT PREFERENCES REGARDING LIFE-SUSTAINING TREATMENTS
STABILITY OF PATIENT PREFERENCES REGARDING LIFE-SUSTAINING TREATMENTS
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DOI：
10.1378/chest.97.1.159
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发表时间：
1990-01-01
期刊：
影响因子：
9.6
通讯作者：
PEARLMAN, RA
中科院分区：
文献类型：
--
作者：
EVERHART, MA;PEARLMAN, RA
医师经常对患者对生命疗法的偏见的可靠性表示关注。我们采访了30名退伍军人管理重症监护病房患者，以确定他们对复苏的偏好，需要机械通气，人工水合和营养以及治疗肺炎治疗的偏好。考虑到他们当前的健康状况，然后两种假设的情况，中风和痴呆症表示了他们的偏好。一个月后进行后续采访以评估偏好稳定性。我们发现了关于维持生命的治疗的多样性。尽管健康状况和情绪发生了显着变化（p <0.05），但随着时间的推移，治疗偏好稳定（kappa = .35-.70）。我们的结果表明，在严重疾病期间征求的维持生命的治疗偏好是可靠的，可以在患者无法交流或精神上无能力的情况下用于决策。
Physicians often express concern about the reliability of critically ill patient''s preferences regarding life-sustaining treatments. We interviewed 30 Veterans Administration intensive care unit patients to determine their preferences for resuscitation, resuscitation requiring mechanical ventilation, artificial hydration and nutrition, and hospitalization for treatment of pneumonia. Patients expressed their preferences considering their current health and then two hypothetical scenarios, stroke and dementia. Follow-up interviews occurred one month later to assess preference stability. We found a diversity of opinions about life-sustaining treatments. Despite significant changes in health status and mood (p < 0.05), treatment preferences were stable over time (kappa = .35-.70). Our results suggest that life-sustaining treatment preferences solicited during a serious illness are reliable and may be used in decision making when a patient becomes unable to communicate or is mentally incapacitated.