노인의 연명의료 의향 영향요인: 2020년 노인실태조사 중심으로
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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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.
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.
참고문헌 (29)
- "Future population estimation: estimated population by major age group(production-age population, elderly population, etc.)" (2017)[URL]
- 김신미, "중년기 성인의 사전의료의향서, 호스피스완화의료, 연명치료에 대한 인식", 한국사회복지조사연구, 37, pp.21~44 (2013), 사회복지연구소
- 임정미, "65세 이상 노인의 사전연명의료의향서 작성 의향과 정책과제", 인문사회 21, 12(2), pp.2733~2744 (2021), 인문사회 21
- 김현숙, "지역사회거주 노인의 연명치료 중단에 대한 자기결정 영향 요인", 성인간호학회지, 28(3), pp.334~342 (2016), 한국성인간호학회[DOI]
- SchiffR, "Views of elderly people on living wills : interview study", British Medical Journal, 320(7250), pp.1640~1641 (2000)[DOI]
- Melhado LW, "Patients' and surrogates' decisionmaking characteristics : withdrawing, withholding, and continuing life-sustaining treatments", Journal of Hospice & Palliative Nursing, 13(1), pp.16~28 (2011)[DOI]
- "Hospice life-sustaining treatment comprehensive plan" (2019)[URL]
- Institute of Medicine, "Dying in America : improving quality and honoring individual preferences near the end of life", pp.638~ (2015), The National Academies Press
- "Life-sustaining treatment information portal, monthly statistics" (2019)[URL]
- 천주영, "한국 노인의 사전연명의료의향서 작성 및 연명치료 중단에 대한 체계적 문헌고찰", 한국생활환경학회지, 27(4), pp.473~488 (2020), 한국생활환경학회[DOI]
- 양소명, "예비노인의 사전연명의료의향서 작성 여부에 따른 죽음불안과 품위있는 죽음태도의 차이", 한국보건간호학회지, 34(2), pp.251~262 (2020), 한국보건간호학회[DOI]
- 김명숙, "지역사회 재가노인의 사전연명의료의향서 작성의도 영향 요인", 한국콘텐츠학회 논문지, 18(2), pp.240~247 (2018), 한국콘텐츠학회[DOI]
- 염은이, "노인의 자아통합감, 사전연명의료의향서 지식이 연명치료중단 태도에 미치는 영향", 노인간호학회지, 21(3), pp.173~182 (2019), 한국노인간호학회[DOI]
- 하은주, "암 환자의 사전연명의료의향서 작성의도에 대한 영향 요인", 기본간호학회지, 28(1), pp.121~132 (2021), 기본간호학회[DOI]
- 박남주, "Factors affecting intention to complete advance directives in older Koreans", 대한보건연구, 47(1), pp.47~57 (2021), 사단법인 대한보건협회[DOI]
- 윤명숙, "저소득 노인의 연명치료 중단의사에 영향을 미치는 요인", 정신건강과 사회복지, 43(3), pp.192~219 (2015), 한국정신건강사회복지학회
- 정승윤, "임종기 연명치료 중단관련 특성과 사전의료의향서에 대한 노인환자의 태도", 동서간호학연구지, 20(2), pp.103~111 (2014), 동서간호학연구소[DOI]
- 이미애, "노인의 자아통합적 특성이 연명치료 선호도에 미치는 영향", 디지털융복합연구, 14(2), pp.489~499 (2016), 한국디지털정책학회[DOI]
- 총배령, "죽음준비교육이 일반인의 연명치료중단 및 호스피스ㆍ완화의료에 대한 인식에 미치는 효과", Journal of Hospice and Palliative Care, 18(3), pp.227~234 (2015), 한국호스피스완화의료학회[DOI]
- 최희영, "우리나라 노인들의 미충족 의료 유형별 관련요인", 보건의료산업학회지, 11(2), pp.65~79 (2017), 보건의료산업학회
- "2020 The Korean elderly survey" (2021)[URL]
- Jang YR, "Correlates of the attitude toward life-sustaining treatment : a study with older adults in South Korea", The International Journal of Aging and Human Development, 86(4), pp.415~425 (2018)[DOI]
- 정연진, "코로나바이러스감염증-19 격리경험자의 우울에 미치는 영향요인 : 2020년 지역사회건강조사를 바탕으로", 한국간호연구학회지, 6(2), pp.91~102 (2022), 한국간호연구학회[DOI]
- 윤경순, "자녀동거노인가구, 노인부부가구와 독거노인가구의 우울 영향요인 조사: 2020년 노인실태조사 자료 이용", 노인간호학회지, 24(1), pp.1~12 (2022), 한국노인간호학회[DOI]
- 김효정, "노인의 연명의료 태도에 영향을 미치는 요인에 관한 연구", 사례관리연구, 13(1), pp.197~218 (2022), 한국사례관리학회
- Carmel S, "Stability of elderly persons' expressed preferences regarding the use of life-sustaining treatments", Social Science & Medicine, 49(3), pp.303~311 (1999)[DOI]
- Neugarten BL, "The measurement of life satisfaction", Journal of Gerontology, 6(2), pp.134~143 (1961)[DOI]
- 정순둘, "죽음관련 요인과 죽음준비의 관계: 예비노인과 베이비부머의 비교", 한국인구학, 37(1), pp.131~153 (2014), 한국인구학회
- Fortner BV, "Death anxiety in older adults : a quantitative review", Death Studies, 23(5), pp.387~411 (1999)[DOI]
