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Knowledge regarding Advance Directives among Community-dwelling Elderly

지역사회 거주 노인의 임종기 치료, 연명치료, 사전의료의향서에 대한 지식

  • Received : 2013.06.06
  • Accepted : 2013.07.18
  • Published : 2013.08.31

Abstract

Purpose: This study was performed to identify the level of Korean elderly's knowledge regarding concepts of end-of-life (EOL), Life-sustaining-treatment (LST), and advance directives (AD) which are critical aspects for establishing AD in Korean society. Methods: A questionnaire survey was done between October 2011 and February 2012. Knowledge of AD was evaluated with 3 aspects including EOL, LST, and AD utilizing a questionnaire that was developed by authors for the study. Data were collected from 268 community dwelling elderly from three cities and analyzed using descriptive statistics, t-tests, one-way analysis of variance, and a Scheffe post hoc test with SAS Ver. 9.1 program. Results: Overall, Korean elderly were poorly acquainted with AD related concepts. Significant differences in awareness of AD including understanding of EOL, the level of comprehension of LST, and knowledge about AD were revealed by gender, education level, economic state, and acquaintance with terms of AD or LST. Conclusion: To acknowledge autonomy and support quality of life for elderly and to meet the purpose of AD, attention should be given to target populations including elderly in terms of knowledge level related to AD, social marketing, and infra structure relevant to practice AD in our society.

Keywords

Advance directives;End-of-life;Life-sustaining treatment;Aged

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  2. Feasibility Evaluation of Korean Advance Directives (K-AD) vol.20, pp.4, 2014, https://doi.org/10.5977/jkasne.2014.20.4.639
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  4. End-of-life care decisions using a Korean advance directive among cancer patient–caregiver dyads vol.15, pp.01, 2017, https://doi.org/10.1017/S1478951516000808
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  6. Ethical Attitudes, Perceptions of DNR and Advance Directives of General Population vol.23, pp.2, 2014, https://doi.org/10.12934/jkpmhn.2014.23.2.113
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  8. The Relationships between Knowledge on Advance Directive, Attitudes towards the Withdrawal of Life-sustaining Treatment and Quality of Life in Hemodialysis Patients vol.28, pp.3, 2017, https://doi.org/10.12799/jkachn.2017.28.3.291
  9. Recognition of Patients, Families, Nurses, and Physicians about Clinical Decision-making and Biomedical Ethics vol.14, pp.1, 2014, https://doi.org/10.5388/aon.2014.14.1.23

Acknowledgement

Supported by : 대전대학교