Attitudes regarding advance directives among patients in pulmonary rehabilitation.

作者: J E Heffner , B Fahy , L Hilling , C Barbieri

DOI: 10.1164/AJRCCM.154.6.8970363

关键词: Respiratory diseaseIntubationQuestionnaire studyPulmonary rehabilitationMEDLINERehabilitationPhysical therapyPatient acceptanceCross-sectional studyMedicine

摘要: We performed a cross-sectional, descriptive questionnaire study in two pulmonary rehabilitation programs to assess: (1) attitudes of 105 subjects with chronic lung conditions about end-of-life decision-making; (2) the determinants these attitudes; and (3) patient acceptance as foci for education advance directives (ADs). found that 99 (94.3%) had health worries, most common which was fear increasing dyspnea (33.3%). Although 93.8% opinions intubation, less than 42% completed an AD. Most wanted information ADs (88.6%) life-support (68.6%); programs, lawyers, physicians were preferred sources AD information. 98.9% patients patient-physician discussions, only 19.0% such 15.2% discussed life-support, 14.3% thought their understood wishes. Subject willingness undergo intubation varied baseline health, likelihood survival, anticipated following extubation. conclude desire more issues is currently provided by physicians. They regard educators valuable education.

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