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KMID : 1032220130080020065
Journal of Korean Academy of Rural Health Nursing
2013 Volume.8 No. 2 p.65 ~ p.73
Correlations between Intention to use Advance Directives and Death Anxiety in the Community-dwelling Elderly
Ko Ji-Woon

Abstract
Purpose: The purpose of this study was to identify the relationship between intention to use advance directives and level of death anxiety in community-dwelling elders.

Method: The participants were 200 older adults who were aged 60 or over and attended the community welfare centers. The level intention to use advance directive was measured by a questionnaire that was developed by the authors for
the study. The measure by Kraus and Ellisond was administered to evaluate the level of death anxiety.

Result: The average score for intention to use advance directives was 2.05¡¾0.88 and that of death anxiety was 6.2¡¾2.28. There were significant differences in the intention to use advance directives according to education levels and individual properties. Although there was no significant relationship between the intention to use advance directives and the level of
death anxiety, they were negatively associated. Therefore, older adults who had lower death anxiety would tend to use advance directives.

Conclusion: It would be necessary to screening the level of death anxiety to promote use of the advance directives. In
addition, education programs for advance directives would be essential to consider about advance directives for their end-of-life especially for the community-dwelling elderly in Korea.
KEYWORD
Advanced Directives, Aged, Anxiety
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