[Medical decisions in patients with chronic obstructive pulmonary disease]. / Toma de decisiones médicas en pacientes con enfermedad pulmonar obstructiva crónica.
Med Clin (Barc)
; 116(14): 536-8, 2001 Apr 21.
Article
en Es
| MEDLINE
| ID: mdl-11412620
BACKGROUND: A right information about illness is essential if a patient has to take ethically autonomous medical decisions. We assessed whether a group o patients with chronic obstructive pulmonary disease (COPD) had enough information about their illness to take medical decisions. PATIENTS AND METHOD: Structured interview about disease knowledge, wills to receive medical information and to take part in medical lesions as well as opinion on advance directives. RESULTS: Seventy-eight patients with COPD were interviewed. Ninety-two per cent of them were aware that they had a chronic illness and 63% were aware that it was an evolving disease. Fifty per cent believed they could require ICU admission, yet only 33% had knowledge of what mechanical ventilation was. A previous ICU admission and receiving home oxygen therapy were the only factors related to a better knowledge of disease. Forty-six per cent of patients interviewed felt not to be rightly informed, yet 64% of them did not wish to receive more information. Most patients would wish to have some form of future planning of their medical care in case of incompetence. CONCLUSIONS: Patients with COPD do not have enough information to take autonomous decisions. Knowledge is mainly provided by an earlier experience with illness and its complications.
Buscar en Google
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Participación del Paciente
/
Enfermedades Pulmonares Obstructivas
Tipo de estudio:
Guideline
/
Prognostic_studies
/
Qualitative_research
Aspecto:
Ethics
/
Patient_preference
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
Es
Revista:
Med Clin (Barc)
Año:
2001
Tipo del documento:
Article
Pais de publicación:
España