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KMID : 0377219990240020129
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Medical Journal of Chosun Univercity
1999 Volume.24 No. 2 p.129 ~ p.138
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A Clinical Approach to Hospice Care of Doctors’
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Sohn Hyun-Hwa
Yu Ki-Dong
Seo Young-Seon
Kim Tae-Goon
Kim Yang-Soo
Jung Jae-Yung
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Abstract
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Background: Cancer has become the major cause of death in Korea. Doctors who treat terminal cancer come across problems which are too difficult to solve. These problems are related with religious, moral and legal problems. These problems are easy death, patients’ or family’ s refuse of treatment, practice of cardiopulmonary resuscitation(CPR) in terminal cancer, definition of death and so forth. In Korea, studies related with terminal cancer patients and the doctors who treat them are very rare and the hospice system for terminal cancer patients is not organized yet.
Objectives: The aim of this study was to identify the opinions of doctors who treat terminal cancer about these problems.
Materials ðod: This study was performed on 90 doctors working at Chosun university hospital, who are divided in to three parts as staff, residents and interns. We used questionares related with the above problems, composed of 19 items and six general characteristics. We could confirm 75 questionaires.
Results &Conclusion: For the question "ve terminal cancer patients was announced their diagnosis and prognosis?"hat was most important to doctors was patients’ opinions and the second was their family’ s. For the question "eatment which could prolong the life of terminal cancer patients who are unnconscious is performed?"doctors showed a negative opinion. About the easy death of terminal cancer patients, more than half the doctors showed agreement. The prohibition of CPR in terminal cancer patients was agreed by 40%. For the question about the definition of death in terminal cancer patients 76.1% doctors agreed it was brain death. 85.7% subjects answered that they felt moral enmity in treatment of terminal cancer patients. In Korea, the programs for these problems are very poor, and the results of this study can affect the formation of systems and laws about the terminal cancer patients and the doctor’s treatment. National support for terminal cancer patients and the hospice care system is required.
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KEYWORD
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Hospice care, Terminal cancer
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