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KMID : 0895920190210030173
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Journal of Korean Gerontological Nursing
2019 Volume.21 No. 3 p.173 ~ p.182
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Influence of Older Person's Ego Integrity and Knowledge of Advance Directives on their Attitude toward Withdrawal from Life-sustaining Treatment
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Yeom Eun-Yi
Seo Kum-Sook
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Abstract
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Purpose: This descriptive correlation study was done to investigate the influence of older person's ego integrity and knowledge of advance directives on their attitude toward withdrawal from life-sustaining treatment.
Methods: The participants were 155 older persons residing in B city. Data were collected from February 11 to March 8, 2019. Data analysis was performed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient, and stepwise multiple regression analysis.
Results: Ego integrity was positively correlated with knowledge of advance directives and attitude toward withdrawal from life-sustaining treatment. Knowledge of advance directives was positively correlated with attitude toward withdrawal from life-sustaining treatment. The factors influencing attitude toward withdrawal from life-sustaining treatment were participants' economic status, ego-integrity and knowledge of advance directives. These variables explained 17.1% of older person's attitude toward withdrawal from life-sustaining treatment.
Conclusion: The findings indicate that ego integrity and knowledge of advance directives are important factors in changing older people's attitude toward withdrawal from life-sustaining treatment. Therefore, systematic programs to enhance the older person's ego integrity level and improve their knowledge of advance directives should be developed.
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KEYWORD
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Aged, Ego, Advance directives, Knowledge, Withholding treatment
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