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KMID : 0869920130190030330
Journal of Korean Academy Society of Nursing Education
2013 Volume.19 No. 3 p.330 ~ p.340
Knowledge regarding Advance Directives among Community-dwelling Elderly
Hong Sun-Woo

Kim Shin-Mi
Abstract
Purpose: This study was performed to identify the level of Korean elderly`s knowledge regarding concepts of end-of-life (EOL), Life-sustaining-treatment (LST), and advance directives (AD) which are critical aspects for establishing AD in Korean society.

Methods: A questionnaire survey was done between October 2011 and February 2012. Knowledge of AD was evaluated with 3 aspects including EOL, LST, and AD utilizing a questionnaire that was developed by authors for the study. Data were collected from 268 community dwelling elderly from three cities and analyzed using descriptive statistics, t-tests, one-way analysis of variance, and a Scheffe post hoc test with SAS Ver. 9.1 program.

Results: Overall, Korean elderly were poorly acquainted with AD related concepts. Significant differences in awareness of AD including understanding of EOL, the level of comprehension of LST, and knowledge about AD were revealed by gender, education level, economic state, and acquaintance with terms of AD or LST.

Conclusion: To acknowledge autonomy and support quality of life for elderly and to meet the purpose of AD, attention should be given to target populations including elderly in terms of knowledge level related to AD, social marketing, and infra structure relevant to practice AD in our society.
KEYWORD
Advance directives, End-of-life, Life-sustaining treatment, Aged
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