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Factors influencing intention to use life-sustaining treatment of communitydwelling older adults using the 2020 national survey of older Koreans: Secondary analysis research

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KMID : 0895920220240040424
ȲÀ±Èñ ( Hwang Yun-Hee ) - Dongju College Department of Nursing

ÀüÇýÁ¤ ( Jun Hye-Jung ) - Busan Women¡¯s College Department of Nursing
¹ÚÇý·Ã ( Park Hye-Ryeon ) - Kyungil University Department of Nursing

Abstract

Purpose: The purpose of this study was to identify the intention to use life-sustaining treatment for older adults living in a local community, and the factors that influence the intention to use life-sustaining treatment.

Methods: A total of 9,555 older adults were selected and analyzed using 2020 National Survey of Older Koreans data. A Rao-Scott test was conducted to evaluate the differences in sociodemographics, health status, death preparation education experience, and life satisfaction according to intention to use life-sustaining treatment.

Results: Economic status (odds ratio [OR]=1.38, 95% confidence interval [CI]=1.00~1.90), social support (OR=4.78, 95% CI=1.16~19.74), and life satisfaction (OR=1.53, 95% CI=1.12~2.09) were identified as significant influencing factors in the older adults¡¯ life-sustaining treatment intentions. In other words, when satisfaction with economic conditions is moderate or low, when there is social support, and when life satisfaction is moderate, life-sustaining treatment intention was high.

Conclusion: Education programs for life-sustaining treatment should be provided for older adults living in this community.
KeyWords

Aged, Advance directives, Social support
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