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Purpose: The aims of this study were to identify the reported attitudes of older patients with cancer toward advance directives (ADs) and the factors associated with their attitudes toward ADs. Methods: The design was a cross-sectional survey. The age mean of the 130 participants were 70.8, and 66.2% of the participants were male. The data were collected at one university hospital in Seoul, South Korea during the period from October 1st to December 5th in 2013. The data collecting instruments were the Advance Directives Attitude Survey (ADAS) and questionnaires including socio-demographic and disease-related characteristics, family function. Results: 30.0% of the participants were aware of ADs, only 9% of them had been informed by healthcare providers. Most participants (93.1%) intended to complete ADs. The mean score of ADAS was 48.29. The stepwise linear regression analysis indicated that family function, perceived health status, period of education, and age accounted for a significant percentage (52.0%, p<.001) of the variance in participants’ ADAS. The variable with the greatest effect was family function. Conclusion: The findings suggest that family function and attitude of older cancer patients need to be considered for adapting ADs to Korean health care systems. Healthcare providers should include family members in advanced care planning discussions.

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기사명 저자명 페이지 원문 목차
국내·외 중환자간호 연구의 동향 분석 : 양적 연구를 중심으로 최은희, 장은희, 최지연, 이소정, 서효경, 박경숙 pp.384-396

노인 암 환자의 사전의사결정에 대한 태도와 관련요인 이민혜, 박연환 pp.449-458

수술 전 골반저 근육운동과 전화관리가 근치적 전립선 적출술을 받은 전립선암 환자의 요실금 지각정도, 배뇨 관련 만족도, 우울 및 삶의 질에 미치는 효과 박지은, 이해정 pp.406-417

복지관 이용 노인의 건강상태와 건강행위 관련요인 하지연, 박연환 pp.428-437

노인요양시설 건강지원서비스 현황과 장애요인 : 포커스 집단 면접 박연환, 방활란, 김가혜, 오세은, 정영일, 김홍수 pp.418-427

Reliability and Validity of a Korean Version of the Cultural Awareness Scale(K-CAS) 최희승, 서은영, 박창, 박지선, Fernandez, Eric pp.472-479

성인초기 여성의 골건강 증진을 위한 스마트폰 앱 개발 및 적용 : 예비연구 박영주, 이숙자, 신나미, 신현정, 윤성진, 전송이, 조인해 pp.459-471

아로마 에센셜 오일 적용이 알레르기 비염 대학생의 비염증상, 호산구 및 비염 관련 삶의 질에 미치는 영향 원수진, 채영란 pp.438-448

일개 상급종합병원을 이용하는 미국과 유럽계 외국인 당뇨 환자의 건강정보이해능력, 당뇨지식, 당뇨자가간호 고은애, 박효정 pp.397-405

만성 폐쇄성 폐질환 환자의 증상경험과 우울의 관계에 미치는 극복력의 매개효과 공경란, 이은남 pp.375-383

참고문헌 (30건) : 자료제공( 네이버학술정보 )

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번호 참고문헌 국회도서관 소장유무
1 Seo HG. Medical expenses of terminal cancer patient are maximum with 1 month of death [Internet]. 2013 Oct 9. Available from:http://www.yonhapnews.co.kr/bulletin/2013/10/08/0200000000AKR20131008207500017.HTML 미소장
2 Ethical and Legal Aspect of Termination of Hosptial Care 소장
3 Attributes Considered Important for a Good Death among Elderly and Adults 소장
4 Pyun HJ. Health status, advanced directives among community dwelling elders [master's thesis]. Seoul: Ewha Womens University; 2012. 미소장
5 Patient Autonomy and Advance Directives in Korea 소장
6 Miller CA. Nursing for wellness in older adults: theory and practice. 4th ed. Philadelphia: Lippincott Williams & Wilkins;2004. 미소장
7 Thinking ahead: factors associated with executing advance directives. 네이버 미소장
8 Nolan MT, Bruder M. Patients' attitudes toward advance directives and end-of-life treatment decisions. Nursing Outlook. 1997;45(5):204-8. 미소장
9 Preferences for surrogate decision makers, informal communication, and advance directives among community-dwelling elders: results from a national study. 네이버 미소장
10 Attitudes toward advance directives and advance directive completion rates. 네이버 미소장
11 Family experience with difficult decisions in end-of-life care. 네이버 미소장
12 Patients' Attitudes Toward Advance Directives 네이버 미소장
13 Factors influencing older adults to complete advance directives. 네이버 미소장
14 Articles : A Survey on Life Sustaining Treatment Experienced by Adults with Deceased Family Member 네이버 미소장
15 Factors influencing preferences of Korean people toward advance directives. 네이버 미소장
16 Life-sustaining treatment. A prospective study of patients with DNR orders in a teaching hospital. 네이버 미소장
17 The Process of Medical Decision-making for Cancer Patients 소장
18 High DM. Why are elderly people not using advance directives? Journal of Aging and Health. 1993;5(4):497-515. 미소장
19 Attitudes and Preferences of Korean‐American Older Adults and Caregivers on End‐of‐Life Care 네이버 미소장
20 Perspectives of Elderly People on Advance Directives in Japan 네이버 미소장
21 Lee HL, Park YH. Attitude toward advance directives of older adults using senior centers. Journal of Gerontological Nursing. 2014;16(2):160-9. 미소장
22 Olson DH, Portner J, Lavee Y. Family adaptability and cohesion evaluation scales (FACES III). St Paul: University of Minnesota, Family Social Science. 1985. 미소장
23 The Comparative Study of Family Dynamics between Families of Problem Students and of Normal Students 소장
24 Ethical Awareness and Attitudes of Patients’ Families towards DNR(Do-Not-Resuscitate) 소장
25 The use of living wills at the end of life. A national study. 네이버 미소장
26 Ethnicity and attitudes toward patient autonomy. 네이버 미소장
27 Carr D, Moorman SM, Boerner K. End-of-life planning in a family context: does relationship quality affect whether (and with whom) older adults plan? The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2013:68(4);586-92. http://www.dx.doi.org/10.1093/geronb/gbt034 미소장
28 Asian and Pacific Islander cultural values: considerations for health care decision making. 네이버 미소장
29 Patients’ preference for involvement in medical decision making: A narrative review 네이버 미소장
30 The patient self-determination act and advance directive completion in nursing homes. 네이버 미소장

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