Decision Making Regarding Tracheotomy in Patients With Prolonged Ventilator Use
碩士 === 長榮大學 === 護理學研究所 === 96 === Background: In Taiwan, tracheotomy has become a routine procedure for patients with respiratory failure who have been depending on an endotracheal tube for ventilation for over two weeks. After tracheotomy, elderly patients either die shortly or depend on mechanical...
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ndltd-TW-096CJU055630032016-04-29T04:19:27Z http://ndltd.ncl.edu.tw/handle/74616002602441960574 Decision Making Regarding Tracheotomy in Patients With Prolonged Ventilator Use 家屬對長期使用呼吸器患者氣切之決定過程 Yu-Wen Su 蘇鈺雯 碩士 長榮大學 護理學研究所 96 Background: In Taiwan, tracheotomy has become a routine procedure for patients with respiratory failure who have been depending on an endotracheal tube for ventilation for over two weeks. After tracheotomy, elderly patients either die shortly or depend on mechanical ventilation for years until they die. Furthermore, for some Taiwanese, dying with the body whole, that is, without a hole in the throat, is important. Thus, whether to receive a tracheotomy is a very difficult decision, compounded by the fact that most patients are unable to communicate. As a result, family members are the ones to decide and conflicts between family members over this issue are very common. In the acute care setting, matters are made worse by busy health care providers who often give technical explanations that are difficult to comprehend. Objective: The purpose of this qualitative study is to explore the meaning of tracheotomy to the patent’s family, the family decision making process, and how they have come to accept or reject a tracheotomy for their loved one. Methods: The investigator is recruiting potential participants from a respiration care unit in a medical center. Family members whose loved ones have been on the respirator for more than 21 days are being recruited for this study. Semi-structured, open-ended questions are used in the in-depth interviews. The interviews are recorded on tape and transcribed verbatim. Eight interviews have been conducted thus far, with five families accepting and the other five rejecting tracheotomy. Results: Eight themes have emerged from the data analysis with impressions in tracheotomy: life length, suffers, quality of life, body whole, faith, caregiver burden, seriously ill, and test piece. Ten themes have emerged from the data analysis of decision making in tracheotomy: perceptions, autonony, age, struggle and dilemma, experience, decision pattern and hope. Many factors influence the family’s decision regarding tracheotomy and the family members require time to think it through. The results suggest that health care providers must allow family members sufficient time to make the decision and provide information to meet each individual family’s needs during this difficult time. KEYWORDS: tracheotomy, decision making, family members Lee-Jen Wu Suen 吳麗珍 2008 學位論文 ; thesis 108 zh-TW |
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碩士 === 長榮大學 === 護理學研究所 === 96 === Background: In Taiwan, tracheotomy has become a routine procedure for
patients with respiratory failure who have been depending on an endotracheal
tube for ventilation for over two weeks. After tracheotomy, elderly patients either
die shortly or depend on mechanical ventilation for years until they die.
Furthermore, for some Taiwanese, dying with the body whole, that is, without
a hole in the throat, is important. Thus, whether to receive a tracheotomy is
a very difficult decision, compounded by the fact that most patients are unable
to communicate. As a result, family members are the ones to decide and
conflicts between family members over this issue are very common.
In the acute care setting, matters are made worse by busy health care
providers who often give technical explanations that are difficult to comprehend.
Objective: The purpose of this qualitative study is to explore the meaning
of tracheotomy to the patent’s family, the family decision making process,
and how they have come to accept or reject a tracheotomy for their loved one.
Methods: The investigator is recruiting potential participants from a respiration
care unit in a medical center. Family members whose loved ones have been
on the respirator for more than 21 days are being recruited for this study.
Semi-structured, open-ended questions are used in the in-depth interviews.
The interviews are recorded on tape and transcribed verbatim. Eight interviews
have been conducted thus far, with five families accepting and the other five
rejecting tracheotomy.
Results: Eight themes have emerged from the data analysis with impressions
in tracheotomy: life length, suffers, quality of life, body whole, faith, caregiver
burden, seriously ill, and test piece. Ten themes have emerged from
the data analysis of decision making in tracheotomy: perceptions, autonony,
age, struggle and dilemma, experience, decision pattern and hope. Many factors
influence the family’s decision regarding tracheotomy and the family members
require time to think it through. The results suggest that health care providers
must allow family members sufficient time to make the decision and provide
information to meet each individual family’s needs during this difficult time.
KEYWORDS: tracheotomy, decision making, family members
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author2 |
Lee-Jen Wu Suen |
author_facet |
Lee-Jen Wu Suen Yu-Wen Su 蘇鈺雯 |
author |
Yu-Wen Su 蘇鈺雯 |
spellingShingle |
Yu-Wen Su 蘇鈺雯 Decision Making Regarding Tracheotomy in Patients With Prolonged Ventilator Use |
author_sort |
Yu-Wen Su |
title |
Decision Making Regarding Tracheotomy in Patients With Prolonged Ventilator Use |
title_short |
Decision Making Regarding Tracheotomy in Patients With Prolonged Ventilator Use |
title_full |
Decision Making Regarding Tracheotomy in Patients With Prolonged Ventilator Use |
title_fullStr |
Decision Making Regarding Tracheotomy in Patients With Prolonged Ventilator Use |
title_full_unstemmed |
Decision Making Regarding Tracheotomy in Patients With Prolonged Ventilator Use |
title_sort |
decision making regarding tracheotomy in patients with prolonged ventilator use |
publishDate |
2008 |
url |
http://ndltd.ncl.edu.tw/handle/74616002602441960574 |
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