Differences between COPD patients and their families regarding willingness toward life-sustaining treatments

Ting Ru Chen, Wen Yu Hu, Tai Yuan Chiu, Han Pin Kuo

研究成果: 雜誌貢獻文章

摘要

Background/Purpose: Patients with chronic obstructive pulmonary disease (COPD) receive more life-sustaining treatments (LSTs) than those with other diseases. The aims of this study were to explore the willingness of COPD patients and their families to consent to LSTs and compare the differences between their levels of willingness. Methods: A cross-sectional survey was conducted, and structured questionnaires were used for data collection. Results: A total of 219 valid samples were collected, including 109 patients and 110 families. Sixty percent of family members indicated that they did not know the intentions of the patient. Families were significantly more willing for patients to receive LSTs than the patients themselves. The level of willingness of patients and families varied according to the situation and LST interventions. When patients were in a vegetative state or medical treatments were futile, the willingness of COPD patients and their families to receive LSTs significantly decreased. Endotracheal intubation and external defibrillation were the least likely to be requested, whereas the willingness to receive medication injections and noninvasive ventilation was greatest. Conclusion: Communication between families and patients on the issue of LST should be facilitated. Adequate information on the patient's condition and possible LSTs should be provided to avoid COPD patients receiving inappropriate LSTs.

原文英語
頁(從 - 到)414-419
期刊Journal of the Formosan Medical Association
118
發行號1P3
DOIs
出版狀態接受/付印 - 一月 2019

指紋

Chronic Obstructive Pulmonary Disease
Therapeutics
Medical Futility
Persistent Vegetative State
Noninvasive Ventilation
Intratracheal Intubation
Cross-Sectional Studies
Communication
Injections

ASJC Scopus subject areas

  • Medicine(all)

引用此文

Differences between COPD patients and their families regarding willingness toward life-sustaining treatments. / Chen, Ting Ru; Hu, Wen Yu; Chiu, Tai Yuan; Kuo, Han Pin.

於: Journal of the Formosan Medical Association, 卷 118, 編號 1P3, 01.2019, p. 414-419.

研究成果: 雜誌貢獻文章

@article{b04e54589c3e4ab684bbeb834fd914ea,
title = "Differences between COPD patients and their families regarding willingness toward life-sustaining treatments",
abstract = "Background/Purpose: Patients with chronic obstructive pulmonary disease (COPD) receive more life-sustaining treatments (LSTs) than those with other diseases. The aims of this study were to explore the willingness of COPD patients and their families to consent to LSTs and compare the differences between their levels of willingness. Methods: A cross-sectional survey was conducted, and structured questionnaires were used for data collection. Results: A total of 219 valid samples were collected, including 109 patients and 110 families. Sixty percent of family members indicated that they did not know the intentions of the patient. Families were significantly more willing for patients to receive LSTs than the patients themselves. The level of willingness of patients and families varied according to the situation and LST interventions. When patients were in a vegetative state or medical treatments were futile, the willingness of COPD patients and their families to receive LSTs significantly decreased. Endotracheal intubation and external defibrillation were the least likely to be requested, whereas the willingness to receive medication injections and noninvasive ventilation was greatest. Conclusion: Communication between families and patients on the issue of LST should be facilitated. Adequate information on the patient's condition and possible LSTs should be provided to avoid COPD patients receiving inappropriate LSTs.",
keywords = "Chronic obstructive pulmonary disease, Decision making, End-of-life, Life-sustaining treatment, Willingness",
author = "Chen, {Ting Ru} and Hu, {Wen Yu} and Chiu, {Tai Yuan} and Kuo, {Han Pin}",
year = "2019",
month = "1",
doi = "10.1016/j.jfma.2018.06.020",
language = "English",
volume = "118",
pages = "414--419",
journal = "Journal of the Formosan Medical Association",
issn = "0929-6646",
publisher = "Elsevier Science Publishers B.V.",
number = "1P3",

}

TY - JOUR

T1 - Differences between COPD patients and their families regarding willingness toward life-sustaining treatments

AU - Chen, Ting Ru

AU - Hu, Wen Yu

AU - Chiu, Tai Yuan

AU - Kuo, Han Pin

PY - 2019/1

Y1 - 2019/1

N2 - Background/Purpose: Patients with chronic obstructive pulmonary disease (COPD) receive more life-sustaining treatments (LSTs) than those with other diseases. The aims of this study were to explore the willingness of COPD patients and their families to consent to LSTs and compare the differences between their levels of willingness. Methods: A cross-sectional survey was conducted, and structured questionnaires were used for data collection. Results: A total of 219 valid samples were collected, including 109 patients and 110 families. Sixty percent of family members indicated that they did not know the intentions of the patient. Families were significantly more willing for patients to receive LSTs than the patients themselves. The level of willingness of patients and families varied according to the situation and LST interventions. When patients were in a vegetative state or medical treatments were futile, the willingness of COPD patients and their families to receive LSTs significantly decreased. Endotracheal intubation and external defibrillation were the least likely to be requested, whereas the willingness to receive medication injections and noninvasive ventilation was greatest. Conclusion: Communication between families and patients on the issue of LST should be facilitated. Adequate information on the patient's condition and possible LSTs should be provided to avoid COPD patients receiving inappropriate LSTs.

AB - Background/Purpose: Patients with chronic obstructive pulmonary disease (COPD) receive more life-sustaining treatments (LSTs) than those with other diseases. The aims of this study were to explore the willingness of COPD patients and their families to consent to LSTs and compare the differences between their levels of willingness. Methods: A cross-sectional survey was conducted, and structured questionnaires were used for data collection. Results: A total of 219 valid samples were collected, including 109 patients and 110 families. Sixty percent of family members indicated that they did not know the intentions of the patient. Families were significantly more willing for patients to receive LSTs than the patients themselves. The level of willingness of patients and families varied according to the situation and LST interventions. When patients were in a vegetative state or medical treatments were futile, the willingness of COPD patients and their families to receive LSTs significantly decreased. Endotracheal intubation and external defibrillation were the least likely to be requested, whereas the willingness to receive medication injections and noninvasive ventilation was greatest. Conclusion: Communication between families and patients on the issue of LST should be facilitated. Adequate information on the patient's condition and possible LSTs should be provided to avoid COPD patients receiving inappropriate LSTs.

KW - Chronic obstructive pulmonary disease

KW - Decision making

KW - End-of-life

KW - Life-sustaining treatment

KW - Willingness

UR - http://www.scopus.com/inward/record.url?scp=85049944286&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85049944286&partnerID=8YFLogxK

U2 - 10.1016/j.jfma.2018.06.020

DO - 10.1016/j.jfma.2018.06.020

M3 - Article

AN - SCOPUS:85049944286

VL - 118

SP - 414

EP - 419

JO - Journal of the Formosan Medical Association

JF - Journal of the Formosan Medical Association

SN - 0929-6646

IS - 1P3

ER -