Journal of Industrial Convergence (산업융합연구)

DAEHAN Society of Industrial Management (대한산업경영학회)
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Factors Influencing the Pros and Opposite of Life-Sustaining Treatment in the Elderly: Focusing on the Values of Cohabitation with Children and the Cost of Living in Old Age

노인의 연명의료에 대한 찬반 의견에 영향을 미치는 요인: 자녀동거와 노후생활비에 대한 가치관을 중심으로

  • Mee-Ae Lee (Dept. of Social Welfare, Hansei University)
  • Received : 2022.12.03
  • Accepted : 2023.03.20
  • Published : 2023.03.28
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Abstract

This study analyzed the factors affecting the opinions of life-sustaining treatment among the elderly in Korea. The study subjects were 10,097 people who responded to the survey on the condition of the elderly (2020), and using the SPSS 25.0 program, first, the demographic characteristics of the research subjects were identified through descriptive statistics and the average and normality of major variables were identified. Second, the chi-square was analyzed by conducting a cross-analysis of opinions on life-sustaining treatment according to the characteristics of the elderly. Third, a correlation analysis was performed to analyze the correlation between major variables. Fourth, the relative influence on the life-sustaining treatment of the elderly was identified through multiple regression analysis. The main research findings are as follows. First, 8,565 (84.8%) of the elderly were opposed to medical treatment (life-sustaining treatment) to save them even if they were unconscious or difficult to live. Second, as a result of cross-analysis on life-sustaining treatment for the elderly, the 𝑥2 values of education level, health status, living together with children, and cost of living in old age were found to be significant. Third, the educational level of the elderly, living together with children, and the cost of living in old age were found to have statistically significant negative effects on life-sustaining treatment. Such research results indicate that the elderly with a high level of education oppose life-sustaining treatment compared to those with a low level of education. In addition, in the case of the elderly with traditional values who responded that one of their children should live with the elderly (parents), the ratio of people in favor of life-sustaining treatment was high, and in the case of the elderly with modern values who responded that they did not have to live together, the ratio of opposition to life-sustaining treatment was high. appeared to be high. In addition, in the case of the elderly with traditional values who responded that the burden of living expenses in old age should be shared between the state and society and their children, the proportion in favor of life-sustaining treatment was high. This high figure expressed the desire for well-dying. Based on these research results, the value system was re-examined as a factor influencing the elderly's opinion on life-sustaining treatment, and basic data for welfare policies for the elderly were provided.

본 연구는 우리나라 노인들의 연명의료에 대한 의견에 영향을 미치는 요인들을 분석하였다. 연구대상자는 노인실태조사(2020)에 응답한 10,097명이며, SPSS 25.0 프로그램을 이용하여 첫째, 기술통계를 통해 연구대상자의 인구사회학적 특성 파악과 주요변수들의 평균 및 정규성을 파악하였다. 둘째, 노인의 특성에 따른 연명의료 의견에 대한 교차분석을 실시하여 카이제곱을 분석하였다. 셋째, 상관관계분석을 실행하여 주요변수 간의 상관관계를 분석하였다. 넷째, 다중회귀분석을 통해서 노인의 연명의료에 미치는 상대적 영향력을 파악하였다. 이러한 분석을 통해 밝혀진 주요 연구결과는 다음과 같다. 첫째, 노인은 의식불명 또는 살기 어려운 데도 살리려는 의료행위(연명의료)에 대해 8,565명(84.8%)이 반대하는 것으로 나타났다. 둘째, 노인의 연명의료에 대한 교차분석결과 교육수준, 건강상태, 자녀동거, 노후생활비 등의 𝑥2 값이 유의미하게 나타났다. 셋째, 노인의 교육수준, 자녀동거, 노후생활비 등이 연명의료에 통계적 유의수준의 부적 영향을 파악하였다. 이와 같은 연구 결과는 노인의 교육수준이 높은 경우가 낮은 경우에 비해 연명의료에 대해 반대한다는 것을 알려주었다. 또한 자녀 중 한 명은 노인(부모)과 동거해야 한다고 응답한 전통적 가치관을 가진 노인의 경우에는 연명의료 찬성비율이 높았고, 굳이 동거하지 않아도 된다고 응답한 현대적 가치관을 가진 노인의 경우에는 연명의료 반대비율이 높은 것으로 나타났다. 그리고 노후생활비 부담을 국가·사회와 자녀가 나누어 부담하여야 한다고 응답한 전통적 가치관을 가진 노인의 경우 연명의료 찬성비율이 높았고, 노후생활비는 스스로 마련해야 한다고 응답한 현대적 가치관을 가진 노인의 경우 연명의료 반대비율이 높게 나타났다. 이러한 연구결과를 바탕으로 연명의료에 대한 노인의 의견에 영향을 미치는 요인으로 가치관을 재조명하고 노인복지정책에 대한 기초자료를 제공하였다.

Keywords

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