دورية أكاديمية
The Perspective of the General Population in Saudi Arabia towards Do-Not-Resuscitate (DNR) Orders: A Cross-Sectional Study.
العنوان: | The Perspective of the General Population in Saudi Arabia towards Do-Not-Resuscitate (DNR) Orders: A Cross-Sectional Study. |
---|---|
المؤلفون: | Qutob RA; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11432, Saudi Arabia., Aljarba NK; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11432, Saudi Arabia., Alhusaini BA; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11432, Saudi Arabia., Alzaid ON; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11432, Saudi Arabia., Alghamdi AH; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11432, Saudi Arabia., Alaryni AA; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11432, Saudi Arabia., Bukhari AI; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11432, Saudi Arabia., Alburakan A; Department of Surgery, College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia., Alanazi AM; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11432, Saudi Arabia., Alsolamy EN; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11432, Saudi Arabia., Alfozan OA; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11432, Saudi Arabia., Alzmamy SA; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11432, Saudi Arabia., Ababtain AA; Critical Care Department, King Abdullah bin Abdulaziz University Hospital, Princess Nourah bint Abdulrahman University, Riyadh 11451, Saudi Arabia., Elhazmi A; College of Medicine, AlFaisal University, Riyadh 11533, Saudi Arabia., Hakami OA; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh 11432, Saudi Arabia. |
المصدر: | Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2023 Jul 20; Vol. 11 (14). Date of Electronic Publication: 2023 Jul 20. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101666525 Publication Model: Electronic Cited Medium: Print ISSN: 2227-9032 (Print) Linking ISSN: 22279032 NLM ISO Abbreviation: Healthcare (Basel) Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: Basel, Switzerland : MDPI AG, [2013]- |
مستخلص: | Objectives: In the event of cardiac arrest, cardiopulmonary resuscitation (CPR) is an emergency procedure used to maintain the heart and lungs functional simultaneously. The do-not-resuscitate (DNR) order prohibits CPR and is therefore legally required. Despite this, a DNR remains a delicate and contentious issue that places physicians in morally ambiguous situations. This study aimed to assess Saudi citizens' understanding of DNR orders, prior exposure to them, and preferences for DNR conversations. Methods: This was an online cross-sectional study that was conducted between January and April 2023 and aimed to assess the knowledge regarding DNR orders among Saudi populations. This study adapted a previously developed questionnaire tool by Al Ahmadi et al., which examined the knowledge and attitude toward do-not-resuscitate among patients and their relatives visiting outpatient clinics. Binary logistic regression analysis was the mean knowledge score for the study participants. Results: A total of 920 participants were involved in this study. Almost half of the study participants (49.6%) reported that they had heard of DNR before. The most commonly reported source of their information on DNR was healthcare providers (58.2%). The mean knowledge score of the study participants was 1.9 (1.3) out of 6, which is equal to 31.7% of the total maximum score. This demonstrates the weak level of knowledge about DNR among the general public. Females, divorced, and those who had a post-graduate level of education were more likely to be knowledgeable of DNR compared to others ( p < 0.05). Around one-quarter of the study participants showed agreement with DNR. More than half of them (59.5%) believe that physicians should be involved in DNR decision making. Conclusions: Saudi Arabia's general community has limited knowledge of DNR. It is recommended that healthcare professionals increase patients' and caregivers' understanding of this concept. This will improve the planning and the provision of end-of-life care. |
References: | J Palliat Med. 2012 Jul;15(7):768-74. (PMID: 22690890) Saudi Med J. 2017 Mar;38(3):297-301. (PMID: 28251226) BMC Med Ethics. 2022 Aug 13;23(1):82. (PMID: 35964019) JAMA. 1960 Jul 9;173:1064-7. (PMID: 14411374) Indian J Palliat Care. 2019 Oct-Dec;25(4):544-549. (PMID: 31673210) Adv Med Educ Pract. 2016 Mar 14;7:165-70. (PMID: 27051329) J Med Ethics. 2007 May;33(5):261-5. (PMID: 17470500) Cureus. 2019 Jan 26;11(1):e3968. (PMID: 30956920) Int J Public Health. 2022 Aug 25;67:1604676. (PMID: 36090825) J Gen Intern Med. 2011 Jul;26(7):791-7. (PMID: 21286839) Can Fam Physician. 2012 Apr;58(4):e229-33. (PMID: 22611610) Palliat Med. 2017 Feb;31(2):147-157. (PMID: 27226151) Multidiscip Respir Med. 2018 Jul 15;13:20. (PMID: 30013772) Saudi Med J. 2020 Jan;41(1):53-58. (PMID: 31915795) Adv Med Educ Pract. 2015 May 26;6:393-8. (PMID: 26064076) Am J Respir Crit Care Med. 2010 Jul 1;182(1):6-11. (PMID: 20194809) Indian J Crit Care Med. 2018 Apr;22(4):214-222. (PMID: 29743759) N Engl J Med. 1990 Jul 26;323(4):270-2. (PMID: 2078209) |
فهرسة مساهمة: | Keywords: DNR; Saudi Arabia; attitude; do-not-resuscitate; knowledge |
تواريخ الأحداث: | Date Created: 20230729 Latest Revision: 20230801 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC10378939 |
DOI: | 10.3390/healthcare11142073 |
PMID: | 37510514 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2227-9032 |
---|---|
DOI: | 10.3390/healthcare11142073 |