篇名 | 先天性畸型新生兒不施行心肺復甦術的倫理抉擇 |
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卷期 | 56:3 |
並列篇名 | Ethical Decision Making for Newborns with Congenital Abnormalities: The 'Do Not Resuscitate' Dilemma |
作者 | 張麗娟 、 黃美智 |
頁次 | 99-104 |
關鍵字 | 先天性畸型新生兒 、 不施行心肺復甦術 、 倫理抉擇 、 Congenital abnormal newborn 、 Do not resuscitation 、 DNR 、 Ethical decision making 、 MEDLINE 、 Scopus 、 TSCI |
出刊日期 | 200906 |
由於醫療科技的提升,使得許多具生命威脅性之先天性畸形新生兒得以延緩死亡,致使新生兒
加護中心(neonates intensive care unit)常出現倫理困境。本文藉由Jonsen等人所提出的四主題方法,探討一位罹患愛德華氏症候群新生兒不施行心肺復甦術的倫理抉擇。分析結論為當先天性畸形的新生兒為無效醫療的情況下,以病患的生活品質為前提,在尊重父母決定下,不施行心肺復甦術,但是應協助父母面對新生兒的死亡,給予先天性畸形的新生兒安寧療護,得到善終。
Neonatal intensive care units face increasing ethical dilemmas as advancing medical techniques pro-long the dying process of newborns with life-threatening congenital abnormalities. This article ex-
plores the ethical dilemma posed with regard to a newborn suffering from Edwards syndrome. The is-sue whether or not to resuscitate was approached using Jensen’s four topics method. Under conditions of medical futility, the presupposition of a poor quality of life for the child and respect for parental au-tonomy, a decision was made against resuscitation. Medical professionals have a responsibility to help parents deal with the dying process through palliative care that provides a good death for newborns suffering from severe congenital abnormalities.