• 보건의료산업학회지
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• 제8권3호
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• pp.219-228
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• 2014

The purpose of this study was to provide a basic data for the establishment of attitude on death, perception on hospice and attitude of DNR by nursing students. The survey was performed with 214 nursing students in Busan. The data was collected by questionnaires and were analyzed using SPSS/win 21.0 program. The period of data collection was from June 1, 2013 to June 15, 2013. The mean scores of attitude on death, perception on hospice and attitude of DNR were 2.63, 3.30 and 3.83 point. The attitude of DNR of the nursing students was significantly different according to the grade and satisfaction of major. The attitude of DNR showed the significant positive relationship with attitude on death and perception on hospice. Attitude on death and perception on hospice accounted for 16.8% of variance in attitude of DNR. Finding of this study is necessary to develop nursing understanding for the attitude of DNR by considering attitude on death and perception on hospice.

• 한국응급구조학회지
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• 제19권2호
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• pp.71-82
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• 2015

Purpose: This study aimed to investigate paramedic students' awareness and attitude toward a do not resuscitate (DNR) order and death. Methods: This research was conducted among 421 students from the Department of Emergency Medical Technology in a 4-year college located in the Chungcheong and Daejeon districts, from May 14 to 22, 2014. Data were analyzed by using IBM SPSS 21.0. Results: The mean level of attitude toward death was 2.17. The paramedic students with clinical experience showed a positive attitude toward death, of whom 72.0% answered that a DNR order is necessary. The mean level of attitude toward DNR was 2.88. The paramedic students with clinical experience showed a positive attitude toward a DNR order. They indicated that sanctity of life should be respected rather than extending ineffective treatment and that patients' decisions on DNR should be respected. The students who had more knowledge about DNR and felt the necessity of DNR had a positive attitude about death and DNR. Conclusion: Paramedic students need systematic education for proper recognition and values establishment about death and DNR.

• 한국임상보건과학회지
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• 제3권2호
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• pp.361-371
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• 2015

Purpose. The purposed of this study was done to DNR attitude and terminal care performance among hospital nurses. Methods. The participants were 207 nurses working in hospital nurses in D and G cities. Data on DNR attitude and terminal care performance were collected via questionnaire between April 2015 and July 2015. Data analysis was done with SPSS 12.0 program and included one-way ANOVA, independent t-test, and Pearson correlation. Result. DNR attitude of participants in this study were shown to have high levels (DNR attitude: M=32.64/60, SD=6.14). Terminal care performance of participants in this study were shown to have poor levels (physical M=20.72/32, SD=3.77, psychological M=20.26/32, SD=3.85, spiritual M=9.62/24, SD=3.65). The attitude of the hospital nurse was significantly different according to the marital status. The terminal care performance was significantly different according to experience of terminal care. The DNR attitude by nurses was positively correlation to physioloical terminal care performance(r=.137, p<.049) but the relationship between the psychological terminal care performance( r=.016, p=.815) and spiritual terminal care performance showed no correlation(r=-.099, p=.157). Conclusion. The results of this study indicate that it is necessary to increase DNR attitude and to encourage terminal care performance among hospital nurses.

• 한국산학기술학회논문지
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• 제11권12호
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• pp.4907-4921
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• 2010

본 연구의 목적은 대학생들의 DNR(Do Not Resuscitate)과 관련된 인식 및 태도를 파악하여 임상에서 사용할 수 있는 DNR에 대한 객관적인 기준을 마련하는데 도움이 되는 기초자료를 제공하고자 시도된 서술적 조사연구이다. 연구대상은 대구광역시 일개 전문대학생 1267명을 대상으로 하였다. 자료수집기간은 2010년 7월1일부터 7월31일까지였으며, 자료수집방법은 구조화된 질문지를 사용하였다. 자료 분석은 SPSS 17.0 Program을 이용하여 실수와 백분율을 구하였고, $x^2$-test로 분석하였다. DNR에 대한 간호대학생과 비 보건계열대학생 인식 및 태도를 비교한 결과, 인식에 있어서 DNR에 대한 필요성, DNR 찬성 이유, DNR 반대 이유, DNR 결정 주체자의 인식에서 유의한 차이가 있었고, 태도에서는 가족 DNR시행, 자기자신 DNR시행에서 유의한 차이가 있었다. DNR정보제공에 대한 간호 대학생과 비 보건계열대학생의 인식을 비교한 결과 DNR에 대한 정보제공 필요성, DNR 정보제공 시기, DNR 정보 제공 결과, DNR 정보제공 지침서에서 유의한 차이가 있었다. 대상자의 일반적 특성에 따른 DNR 필요성 인식차이에서 종교, 헌혈경험에서 유의한 차이가 있었고, DNR 결정 주체자에 대한 인식차이에서 종교, 형제 자매수에서 유의한 차이가 있었다. 대상자의 일반적 특성에 따른 가족 DNR시행에 대한 태도에서 성별, 연령, 경제상태, 종교, 형제 자매수, 가족중 질환 및 사망자, 헌혈경험에서 유의한 차이가 있었고 자기자신 DNR시행에 대한 태도 차이에서 성별, 경제상태, 종교, 형제 자매수, 가족중 질환 및 사망자에서 유의한 차이가 있었다. 본 연구결과를 바탕으로 DNR에 관한 기준을 마련하기 위하여 더 많은 후속 연구가 필요하다고 사료된다.

• 한국노년학
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• 제27권2호
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• pp.323-334
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• 2007

본 연구는 노인의 DNR에 대한 태도와 우울 및 자아존중감과의 관계를 파악하기 위한 횡단적 서술적 조사 연구이다. 4개 대학 병원에 입원한 60세 이상 노인 99명을 대상으로 설문지를 이용하여 2006년 10월 1일부터 2006년 10월 21일까지 자료를 수집하였다. 수집된 자료는 평균, 표준편차, t-test, ANOVA로 분석하였다. 연구결과 대상자들의 DNR에 대한 태도는 평균 3.99(범위 1~5), 우울은 6.64(범위 1~15), 자아존중감은 26.83(범위 10~40)이었다. DNR에 대한 태도는 가족 중 DNR을 실시했던 경험이 있거나(t=6.502, p=.012), DNR에 대해 생각해 본 적이 있거나(t=20.990, p=.000), 가족과 DNR에 대해 얘기해 본 적이 있는(t=10.570, p=.002) 대상자들이 DNR에 대해 더 긍정적인 태도를 보였다. DNR에 대한 태도는 자아존중감과 양적의 상관관계(r=.200, p=.047)를 보였고, 우울과는 통계적으로 유의한 상관관계가 없는 것으로 나타났다. 대부분의 대상자(70.7%)는 DNR에 대해 가족과 대화를 한 적이 없었으나, 약 절반(48.5%) 정도의 응답자들이 DNR에 대해 생각해본 적이 있었다. 그리고 DNR에 대한 교육에 대해서는 29.3%의 응답자만이 요구가 있는 것으로 조사되었다. DNR 결정을 위한 적절한 설명 시기에 대해서는 응답자의 49.5%가 평상시 건강해서 의사표현 할 수 있을 때가 적절한 시기라고 응답하였다.

• 한국융합학회논문지
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• 제10권6호
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• pp.393-399
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• 2019

본 논문은 성인의 심페소생술 금지(DNR)에 대한 인식 및 태도에 대한 서술적 조사 연구이다. 구조화된 설문지를 이용하였으며, 연구 대상은 210명이었다. DNR에 대한 인식에서는 '편안한 죽음을 위해(64.3%)' DNR이 도움이 된다고 긍정적으로 응답하였으며, 상황에 따른 DNR의 필요성은 '품위 있는 죽음을 위함(41.3%)' '환자의 고통을 줄여주기 위해(23.9%)' 등이었으며, DNR에 동의하지 않는 응답자의 이유는 '법적 문제가 제기 될 수 있기 때문(61.7%)', '인간의 존엄성은 생명유지가 최우선이기 때문(16.7%)' 등의 순이었다. DNR에 대한 태도는 '내가 불치병을 가졌을 때 사실을 알기 원하는지의 여부'가 평균 4.21점으로 가장 높았으며, 성인의 연령대별 DNR에 대한 태도에는 차이가 없었다. 심폐소생술 금지는 연명치료 중단의 방법이 아니라 인간이 임종과정과 죽음에 대한 자율권을 행사하는 포괄적 맥락에서 다루어져야 할 것이다.

• 한국산업융합학회 논문집
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• 제27권4_1호
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• pp.741-752
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• 2024

Purpose: The objective of this descriptive survey research was to analyze college students' awareness of and attitude toward DNR to provide basic evidence for building objective standards of DNR that can be clinically applied. Methods: The survey was conducted from March to April 2022. The participants were 141 non-healthcare college students. The data were analyzed using SPSS 24.0 program. Results: Significantly more participants perceived the necessity of DNR (t=2.13, p<.05) and the DNR system (t=2.29, p<.05). Significantly more participants were willing to choose DNR for themselves (t=53.16, p<.05) and for parents (t=3.55, p<.01). Conclusion: Studies with more robust design should be conducted in the future to establish the standards for DNR.

• 간호행정학회지
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• 제7권3호
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• pp.403-414
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• 2001

The study was intended to identify the nurses' experiences, understanding, and attitudes on DNR. Also, the study was to provide the data base for a standard of DNR decision-making and practice. The sample consisted of 347 nurses in eight general hospitals. The data were collected between August 1 and August 31, 2000. The data were analyzed using descriptive statistics and $x^2-test$. The results of the study were as follows : 1. Regarding DNR-related experience, 74.6 percent of the participants experienced DNR situations. Eleven percent of the participants received DNR education. DNR was most frequently (81.5%) requested by family members and relatives of patients. The decision-making on DNR was most frequently (76.8%) made by agreement between family members and medical staff. The DNR order was recorded at 81.9 percent on charts. Problems after DNR order were negligence in treatment and nursing care (30.6%) and guilty feelings due to doing the best (22.1%). CPR (cardiopulmonary resuscitation) was performed about 49.8 percent of DNR cases. 2. Regarding understanding and attitude on DNR, most of the participants (93.1%) thought DNR was necessary. The major reasons for the necessity of DNR were impossible recovery (44.4%) and death with dignity (41.1%). The decision-making on DNR was most frequently made by patient and family members (47.8%) and followed by agreement between family members and medical staff (25.6%), and patients themselves (16.4%). Most of the participants thought that medical staff must explain DNR to critical and end-of-life patients and their family members. Forty four percent of the participants thought that the most appropriate time for DNR explanation was when patients with critical disease were admitted to hospitals. Most of the participants (90.2%) thought a guide book for DNR is necessary to be made in hospitals. 3. There were significant differences in the participants' understanding and attitudes on DNR according to religion career education and experience of DNR. Of the participants those who have religions and education experience on DNR thought that there would be more DNR requests after DNR is explained to patients and family members (p<.05). In addition, there was higher understanding on the necessity of DNR in those who have more career and DNR experience(p<.01). The findings of the study suggest that a guide book for DNR need to be made with inclusion of legal, ethical, and cultural aspects. Also, there needs to be more education on DNR in medical ethics to health care professional and to provide more information on DNR to the general public.

• 간호행정학회지
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• 제9권3호
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• pp.447-458
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• 2003

Purpose: To examine the awareness and experiences of nurses and physicians on DNR. Method: The sample contained of 199 nurses and 98 physicians. The Instrument used in this study was The Nurses' Understanding and Attitude on DNR(AEDNR) developed by the Han et al and revised by the research the AEDNR included 29 items. Result: About 97.3% of them feel the necessity of DNR, Majority of subject(78.8%) have practiced DNR by the demand of 'the patient's family' and 91.8% of them made a medical record at the time they carried out DNR. There were no significant differences in their perceived necessity of DNR between nurses and physicians. Conclusion: This study can be a basis for making objective standards educational, ethical, and legal issues concerning DNR.

• 한국산학기술학회논문지
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• 제16권1호
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• pp.397-407
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• 2015

본 연구는 일상생활이 가능한 65세 이상 노인에게 연명치료중단 교육프로그램을 적용한 후 대상자들의 심폐소생술 금지(Do-Not-Resuscitate, DNR)에 대한 지식, 태도 및 시행의지에 미치는지 효과를 규명하기 위한 목적으로 시도 되었다. 연구대상은 S시에 소재한 J복지관출석 노인 총 40명 이었고 자료수집은 2012년 10월 2일에서 동년 11월 9일까지 진행되었다. 실험군에게는 연명치료중단 교육프로그램을 1회당 50분, 주 2회, 3주에 걸쳐 실시하였으며, 대조군에게는 시간차를 두고 설문지만 작성하게 하였다. 연구결과 연명치료중단 교육프로그램을 실시 후 DNR 지식점수(F=4.158;p=.049)와 DNR 태도점수(F=39.60; p=.001)는 실험군이 대조군에 비해 유의하게 높았다. 또한 연명치료중단 교육프로그램 실시 후 DNR 시행의지 점수는 형제자매(p=.344), 자녀(p=.109)를 제외한 본인(p=.006), 배우자(p=.039), 부모님(p=.006)에서 실험군이 대조군에 비해 유의하게 높았다. 이상의 연구결과로 연명치료중단 교육프로그램이 일반 노인의 DNR 지식, DNR 태도 및 형제자매, 자녀를 제외한 DNR 시행의지에 영향을 미치는 것으로 나타났으며 추후 노인들의 DNR 의사결정을 돕기위한 자료로 활용될 수 있겠다.