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The Perspective of the General Population in Saudi Arabia towards Do-Not-Resuscitate (DNR) Orders: A Cross-Sectional Study
Objectives: In the event of cardiac arrest, cardiopulmonary resuscitation (CPR) is an emergency procedure used to maintain the heart and lungs functional simultaneously. The do-not-resuscitate (DNR) order prohibits CPR and is therefore legally required. Despite this, a DNR remains a delicate and con...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378939/ https://www.ncbi.nlm.nih.gov/pubmed/37510514 http://dx.doi.org/10.3390/healthcare11142073 |
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author | Qutob, Rayan Abubakker Aljarba, Najd Khalid Alhusaini, Bassam Abdulaziz Alzaid, Omar Nasser Alghamdi, Abdullah Hussien Alaryni, Abdullah Abdulaziz Bukhari, Abdullah Ibraheem Alburakan, Ahmed Alanazi, Abdulrahman Mohammed Alsolamy, Eysa Nahar Alfozan, Omar Abdulaziz Alzmamy, Saad Abdullah Ababtain, Abdalmohsen A Elhazmi, Alyaa Hakami, Osamah A. |
author_facet | Qutob, Rayan Abubakker Aljarba, Najd Khalid Alhusaini, Bassam Abdulaziz Alzaid, Omar Nasser Alghamdi, Abdullah Hussien Alaryni, Abdullah Abdulaziz Bukhari, Abdullah Ibraheem Alburakan, Ahmed Alanazi, Abdulrahman Mohammed Alsolamy, Eysa Nahar Alfozan, Omar Abdulaziz Alzmamy, Saad Abdullah Ababtain, Abdalmohsen A Elhazmi, Alyaa Hakami, Osamah A. |
author_sort | Qutob, Rayan Abubakker |
collection | PubMed |
description | Objectives: In the event of cardiac arrest, cardiopulmonary resuscitation (CPR) is an emergency procedure used to maintain the heart and lungs functional simultaneously. The do-not-resuscitate (DNR) order prohibits CPR and is therefore legally required. Despite this, a DNR remains a delicate and contentious issue that places physicians in morally ambiguous situations. This study aimed to assess Saudi citizens’ understanding of DNR orders, prior exposure to them, and preferences for DNR conversations. Methods: This was an online cross-sectional study that was conducted between January and April 2023 and aimed to assess the knowledge regarding DNR orders among Saudi populations. This study adapted a previously developed questionnaire tool by Al Ahmadi et al., which examined the knowledge and attitude toward do-not-resuscitate among patients and their relatives visiting outpatient clinics. Binary logistic regression analysis was the mean knowledge score for the study participants. Results: A total of 920 participants were involved in this study. Almost half of the study participants (49.6%) reported that they had heard of DNR before. The most commonly reported source of their information on DNR was healthcare providers (58.2%). The mean knowledge score of the study participants was 1.9 (1.3) out of 6, which is equal to 31.7% of the total maximum score. This demonstrates the weak level of knowledge about DNR among the general public. Females, divorced, and those who had a post-graduate level of education were more likely to be knowledgeable of DNR compared to others (p < 0.05). Around one-quarter of the study participants showed agreement with DNR. More than half of them (59.5%) believe that physicians should be involved in DNR decision making. Conclusions: Saudi Arabia’s general community has limited knowledge of DNR. It is recommended that healthcare professionals increase patients’ and caregivers’ understanding of this concept. This will improve the planning and the provision of end-of-life care. |
format | Online Article Text |
id | pubmed-10378939 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103789392023-07-29 The Perspective of the General Population in Saudi Arabia towards Do-Not-Resuscitate (DNR) Orders: A Cross-Sectional Study Qutob, Rayan Abubakker Aljarba, Najd Khalid Alhusaini, Bassam Abdulaziz Alzaid, Omar Nasser Alghamdi, Abdullah Hussien Alaryni, Abdullah Abdulaziz Bukhari, Abdullah Ibraheem Alburakan, Ahmed Alanazi, Abdulrahman Mohammed Alsolamy, Eysa Nahar Alfozan, Omar Abdulaziz Alzmamy, Saad Abdullah Ababtain, Abdalmohsen A Elhazmi, Alyaa Hakami, Osamah A. Healthcare (Basel) Article Objectives: In the event of cardiac arrest, cardiopulmonary resuscitation (CPR) is an emergency procedure used to maintain the heart and lungs functional simultaneously. The do-not-resuscitate (DNR) order prohibits CPR and is therefore legally required. Despite this, a DNR remains a delicate and contentious issue that places physicians in morally ambiguous situations. This study aimed to assess Saudi citizens’ understanding of DNR orders, prior exposure to them, and preferences for DNR conversations. Methods: This was an online cross-sectional study that was conducted between January and April 2023 and aimed to assess the knowledge regarding DNR orders among Saudi populations. This study adapted a previously developed questionnaire tool by Al Ahmadi et al., which examined the knowledge and attitude toward do-not-resuscitate among patients and their relatives visiting outpatient clinics. Binary logistic regression analysis was the mean knowledge score for the study participants. Results: A total of 920 participants were involved in this study. Almost half of the study participants (49.6%) reported that they had heard of DNR before. The most commonly reported source of their information on DNR was healthcare providers (58.2%). The mean knowledge score of the study participants was 1.9 (1.3) out of 6, which is equal to 31.7% of the total maximum score. This demonstrates the weak level of knowledge about DNR among the general public. Females, divorced, and those who had a post-graduate level of education were more likely to be knowledgeable of DNR compared to others (p < 0.05). Around one-quarter of the study participants showed agreement with DNR. More than half of them (59.5%) believe that physicians should be involved in DNR decision making. Conclusions: Saudi Arabia’s general community has limited knowledge of DNR. It is recommended that healthcare professionals increase patients’ and caregivers’ understanding of this concept. This will improve the planning and the provision of end-of-life care. MDPI 2023-07-20 /pmc/articles/PMC10378939/ /pubmed/37510514 http://dx.doi.org/10.3390/healthcare11142073 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Qutob, Rayan Abubakker Aljarba, Najd Khalid Alhusaini, Bassam Abdulaziz Alzaid, Omar Nasser Alghamdi, Abdullah Hussien Alaryni, Abdullah Abdulaziz Bukhari, Abdullah Ibraheem Alburakan, Ahmed Alanazi, Abdulrahman Mohammed Alsolamy, Eysa Nahar Alfozan, Omar Abdulaziz Alzmamy, Saad Abdullah Ababtain, Abdalmohsen A Elhazmi, Alyaa Hakami, Osamah A. The Perspective of the General Population in Saudi Arabia towards Do-Not-Resuscitate (DNR) Orders: A Cross-Sectional Study |
title | The Perspective of the General Population in Saudi Arabia towards Do-Not-Resuscitate (DNR) Orders: A Cross-Sectional Study |
title_full | The Perspective of the General Population in Saudi Arabia towards Do-Not-Resuscitate (DNR) Orders: A Cross-Sectional Study |
title_fullStr | The Perspective of the General Population in Saudi Arabia towards Do-Not-Resuscitate (DNR) Orders: A Cross-Sectional Study |
title_full_unstemmed | The Perspective of the General Population in Saudi Arabia towards Do-Not-Resuscitate (DNR) Orders: A Cross-Sectional Study |
title_short | The Perspective of the General Population in Saudi Arabia towards Do-Not-Resuscitate (DNR) Orders: A Cross-Sectional Study |
title_sort | perspective of the general population in saudi arabia towards do-not-resuscitate (dnr) orders: a cross-sectional study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378939/ https://www.ncbi.nlm.nih.gov/pubmed/37510514 http://dx.doi.org/10.3390/healthcare11142073 |
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