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KMID : 0367020130250020207
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Journal of Korean Academic of Adult Nursing
2013 Volume.25 No. 2 p.207 ~ p.218
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Preferences for Care near the End of Life according to Chronic Patients’ Characteristics
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Yun Seon-Young
Kang Ji-Yeon
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Abstract
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Purpose: The purpose of this study was to explore the chronic patients’ preferences for care near the end of life. Methods: This is a descriptive survey research, with subjects of 161 outpatients with hypertension, diabetes mellitus or chronic renal failure. Results: The majority of the subjects do not want meaningless life sustaining treatment and they report thinking positively about family or health care professional to participate in their end of life decision making process. Subjects reported preferring adequate pain management and spiritual support at the end of life. In regard to advance directives (ADs), those subjects with chronic disease report thinking positively about the necessity of ADs and its institutionalization. However, the subjects report not having the detailed information on the proper time and method of writing their ADs. Conclusion: Based on these results, educational programs on end of life decision making for chronic patients need to be developed. Also, the nurse should try to reflect the opinion of chronic patients as much as possible when make an end-of-life decision.
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KEYWORD
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Chronic disease, Patients, Advance directives, Terminal care
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