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Factors Influencing Self Determination for Withdrawing Life-Sustaining Treatment of the Community Dwelling Elderly
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  • Journal title : Korean Journal of Adult Nursing
  • Volume 28, Issue 3,  2016, pp.334-342
  • Publisher : Korean Society of Adult Nursing
  • DOI : 10.7475/kjan.2016.28.3.334
 Title & Authors
Factors Influencing Self Determination for Withdrawing Life-Sustaining Treatment of the Community Dwelling Elderly
Kim, Hyun Sook; Jang, Hye Kyoung; Shin, Sung Rae;
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 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
Social support;Life satisfaction;Do not resuscitate (DNR);Self determination;Elderly;
 Language
Korean
 Cited by
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