台灣病人簽署『不施行心肺復甦術同意書』或『不施行心肺復甦術意願書』的時間點，與國外相比，明顯地病情較為嚴重且更接近臨終。病人常來不及甚至沒有機會參與自身的末期醫療照護計畫，因為目前醫療照護模式，尚未將生命末期照護方式事先與病人討論，幷納入醫療照護計畫中。如果病人有先簽署「預立醫囑」，家屬就能有所依據，作出符合病人需求的決定。
「預立醫囑」的重要性，不僅對病患，對身體健康的人而言，當事人可藉由書面聲明清楚指引家人及醫療團隊想要的醫療方式，一旦因病永久失去自主能力，其內容便成為最主要的醫療依據。
如何跟病患介紹「預立醫囑」，希望藉由此研究去探討社區民眾對預立醫囑的相關知識及態度。藉由社會支持量表、生活滿意度量表、老年憂鬱量表的分數與預立醫囑的相關知識及態度交叉做分析。探討其決定預立醫囑時是否跟個人社會支持、生活滿意度、憂鬱狀況是否互相影響。
研究結果經邏輯斯迴歸分析顯示生活滿意度高及有親友被無意義延長生命相關經驗，較有意願「預立醫囑」決定是否使用呼吸器。有親友被無意義延長生命的相關經驗，較有意願「預立醫囑」決定是否接受急救。主要照顧者非本人或配偶、及有親友被無意義延長生命相關經驗，預立呼吸器醫囑態度傾向不使用。年齡40到64歲，預立急救醫囑態度傾向要試試。與年齡、教育程度、主要照顧者、宗教信仰、社會支持、生活滿意度、自覺健康、相關經驗及相關知識、憂鬱狀況無顯著性相關。透過本研究預立醫囑態度及意願的相關因素探討，可提供專業照護者對民眾在生理、心理、社會與預立醫囑之間有更深層的了解。

The purpose of “Advance directives ”not only for people with severe disease at terminal status but also for healthy people to declare each one’s preference while being on critical status. And that family members would have a directive while deciding whether to execute CPR or not.Comparing with other countries, Taiwan patient signs “does not execute the cardiopulmonary resuscitation letter of consent”(DNR) often postponed till the condition is obviously more serious, and more close to death. The patient usually does not have enough time to discuss and does not even have the opportunity to decide their own advance directives.
Our research is using a structured questionnaire to investigate knowledge, attitudes, and preference regarding advance directives among outpatients of Family Medicine department at Changhua Christian hospital .
The results after logistic regression show that better life satisfaction and experience of nonsense prolonging life make people would like to have advance directives about mechanical ventilator support; experience of nonsense prolonging life makes people would like to have advance directives about cardiopulmonary resuscitation. People who have experience of meaningless prolong life of relatives and caregiver not himself or spouse whose attitude toward ventilator are not using. Age 40 to 64 years-old people whose attitude toward DNR would like to try if there is little chance to survive. Factors such as age, education level, caregiver, religion, social support, depression status, self- perceived health status, experience of discussing DNR consent, knowledge about hospice do not have stastically significant relationship in logistic regression model. Through this study, we provide a deeper understanding in physical, psychological, social aspect about advance directives to professional caregivers.

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