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Factors Influencing Self Determination for Withdrawing Life-Sustaining Treatment of the Community Dwelling Elderly

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KMID : 0367020160280030334
±èÇö¼÷ ( Kim Hyun-Sook ) - »ïÀ°´ëÇб³ ´ëÇпø °£È£Çаú

ÀåÇý°æ ( Jang Hye-Kyoung ) - ±¸¸³½Å³»³ëÀÎÁ¾ÇÕº¹Áö°ü
½Å¼º·Ê ( Shin Sung-Rae ) - »ïÀ°´ëÇб³ °£È£Çаú

Abstract

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.
KeyWords
»çȸÀû ÁöÁö, »îÀÇ ¸¸Á·µµ, DNR, ÀÚ±â°áÁ¤, ³ëÀÎ
Social support, Life satisfaction, Do not resuscitate, Self determination, Elderly
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ÇмúÁøÈïÀç´Ü(KCI) KoreaMed