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KMID : 0367020160280030334
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Journal of Korean Academic of Adult Nursing
2016 Volume.28 No. 3 p.334 ~ p.342
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Factors Influencing Self Determination for Withdrawing Life-Sustaining Treatment of the Community Dwelling Elderly
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Kim Hyun-Sook
Jang Hye-Kyoung
Shin Sung-Rae
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Abstract
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Purpose: This study was conducted to identify factors that influence on self-determination for withdrawal of life-sustaining treatment in the community dwelling elderly.
Methods: This study used a descriptive correlational design. A convenience sample of 201 elderly were recruited from a welfare center located in Seoul, Korea. Data collection was done from September 1 to September 18, 2015. Four survey questionnaires were used: Multidimensional Scale of Perceived Social Support (MSPSS), Life Satisfaction Index-Z (LSI-Z), Attitude on Do Not Resuscitate (DNR), and Self-determination for Withdrawing Life-sustaining Treatment. Data analysis was done by t-test, ANOVA, Pearson’s correlation, and hierrarchical multiple regression.
Results: Hierarchial multiple regression showed that the factors predicting the level of self-determination for withdrawing life-sustaining treatment were educational level, DNR experience in family, life satisfaction, and DNR attitude. These factors explained 44% of the self-determination for withdrawing life-sustaining treatment in community dwelling elderly.
Conclusion: The results of this study suggest developing educational programs aiming at changing elderly's DNR attitude positive ways so that they can enhance self-determination for withdrawing life-sustaining treatment. Further study is needed with more elderly population in extended areas.
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KEYWORD
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Social support, Life satisfaction, Do not resuscitate, Self determination, Elderly
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