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KMID : 0613620220420030303
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Health Social Welfare Review
2022 Volume.42 No. 3 p.303 ~ p.319
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Factors Influencing the Attitudes toward the Advanced Directives of Patients with Cancer: Focusing on the Psychological, Family, and Social Aspects
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Jin Yu-Jeong
Chun Jong-Serl
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Abstract
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This study aimed to contribute to the dignified death of patients with cancer by investigating psychological, family, and social factors affecting patients’ advanced directives(AD). From March to September 2021, a face-to-face survey was conducted on 182 adult cancer patients aged 19 or older in a general hospital in Gyeonggi-do, and a hierarchical regression analysis was conducted. As a result, the family function showed a significantly positive correlation with AD(β=.280, p<.01). Through analysis including sub-areas of major variables, the lower the anxiety regarding loss of existence(β=-.332, p<.001) among the sub-areas of death anxiety, the higher the support of medical personnel(β=.179, p<.01) among the sub-areas of social support, and the higher the family adaptability(β=.347, p<.05) among the sub-areas of family function, the more positive the attitudes were toward AD. This suggested that the supportive approach of medical personnel and experts and the evaluation of family dynamics are important, along with mitigating death anxiety through the assignment of subjectivity to patients in the AD process. The results of this study can be used as a theoretical basis for activating AD for patients with the No. 1 cause of death in Korea.
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KEYWORD
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Patients with Cancer, Life Sustaining Treatment, Advanced Directives, Influencing Factor
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