Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
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Factors Influencing Attitude toward Advance Directives of Older Cancer Patients

노인 암 환자의 사전의사결정에 대한 태도와 관련요인

  • Lee, Min Hye (College of Nursing, Seoul National University) ;
  • Park, Yeon-Hwan (College of Nursing, The Research Institute of Nursing Science, Seoul National University)
  • 이민혜 (서울대학교 간호대학) ;
  • 박연환 (서울대학교 간호대학.간호과학연구소)
  • Received : 2015.06.08
  • Accepted : 2015.08.16
  • Published : 2015.08.31
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Abstract

Purpose: The aims of this study were to identify the reported attitudes of older patients with cancer toward advance directives (ADs) and the factors associated with their attitudes toward ADs. Methods: The design was a cross-sectional survey. The age mean of the 130 participants were 70.8, and 66.2% of the participants were male. The data were collected at one university hospital in Seoul, South Korea during the period from October $1^{st}$ to December $5^{th}$ in 2013. The data collecting instruments were the Advance Directives Attitude Survey (ADAS) and questionnaires including socio-demographic and disease-related characteristics, family function. Results: 30.0% of the participants were aware of ADs, only 9% of them had been informed by healthcare providers. Most participants (93.1%) intended to complete ADs. The mean score of ADAS was 48.29. The stepwise linear regression analysis indicated that family function, perceived health status, period of education, and age accounted for a significant percentage (52.0%, p<.001) of the variance in participants' ADAS. The variable with the greatest effect was family function. Conclusion: The findings suggest that family function and attitude of older cancer patients need to be considered for adapting ADs to Korean health care systems. Healthcare providers should include family members in advanced care planning discussions.

Keywords

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