英文摘要 |
With elder population increasing and average life prolonging, make respiratory therapeutic center mushroom like bamboo shoots after rain. At the same time the patient by tracheostomy that must depend on respiratory machine to survive. It is suffering for patient and their families to accept tracheostomy procedures like suction. At the same time it result in the burden of health insurance. The purpose of this study is to explore the attitude of doctor to execute tracheostomy in the long-time bed rest elder. The sampling method is snowball drawn from the doctor in charge and director of the oncological , neuro-medicine, neuro-surgery , chest medicine department in medical center. The data were collected from in-depth interviews, memo, and from observations in which the participants exposed their feelings and emotions. Instruments used for data collection include semi-construction questionnaire. The validity of qualitative research are assured by the analyst of the triangulation method. The exactitude are assured by credibility. transferability and dependability. The concept of outcome include:1. The medical direction for the purpose of maintaining the life. 2.The regard onlooker as the medical care proposed. 3. The medical recognition would like to reduce the responsibility of the doctor as possible as he could.4. The regard quality of the life as the medical measure that the district separates. 5.The difference medical decision between self and others. Clarify the idea not meaning of ' the continuity of the life ' that ' the quality of the life is really protected ', offer to relatives or the medical professional personnel it on the choice of the medical measure, should stand in the elder role's personal thinking . |