지역사회 노인의 사전연명의료의향 효능감이 사전연명의료의향서 작성에 미치는 영향: 사전연명의료의향 의도의 매개효과
Influence of Advance Directives' Self-efficacy of Community-dwelling Older Adults on the Completion of Advance Directives: Mediating the Effect of Intention for Advance Directives: A Cross-Sectional Study
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to identify factors related to the completion of advance directives by community-dwelling older adults. Methods: This descriptive correlational study used a cross-sectional survey of 236 older adults recruited from a welfare center in Jungnang gu Seoul, South Korea. Data collection was done from June 1 to August 20, 2021. A self-administered questionnaire was used to measure advance directives' self-efficacy and intentions and the completion of advance directives. The data were analyzed with the SPSS 23.0 and SPSS Process Macro program. Results: Advance directives' self-efficacy indirectly had a significant positive effect on the completion of advance directives and fully mediated advance directives' intentions, and its explanatory power was confirmed to be 21%. Conclusion: The result of this study suggests developing education programs to improve the completion of advance directives in community-dwelling older adults. Further research is needed with more elderly populations in extended areas
Abstract
Purpose: The purpose of this study was to identify factors related to the completion of advance directives by community-dwelling older adults. Methods: This descriptive correlational study used a cross-sectional survey of 236 older adults recruited from a welfare center in Jungnang gu Seoul, South Korea. Data collection was done from June 1 to August 20, 2021. A self-administered questionnaire was used to measure advance directives' self-efficacy and intentions and the completion of advance directives. The data were analyzed with the SPSS 23.0 and SPSS Process Macro program. Results: Advance directives' self-efficacy indirectly had a significant positive effect on the completion of advance directives and fully mediated advance directives' intentions, and its explanatory power was confirmed to be 21%. Conclusion: The result of this study suggests developing education programs to improve the completion of advance directives in community-dwelling older adults. Further research is needed with more elderly populations in extended areas
참고문헌 (21)
- 장욱, "연명치료중단에 대한 법제화 방향 및 기준에 대한 소고", 한양법학, 24(3), pp.321~350 (2013), 한양법학회
- Lee MH, "Structural model of the elderly's intent of advance directives regarding the discontinuation of meaningless lifesustaining treatment", pp.2012
- "2021 Life-sustaining treatment decision system, end of life with dignity with peer counseling" (2021)[URL]
- Silveira MJ, "Advance directive completion by elderly Americans : A decade of change", American Geriatrics Society, 62(4), pp.706~710 (2014)[DOI]
- 서연미, "입원한 노인 암 환자의 연명의료중단에 대한 태도와 죽음불안 및 죽음수용 간의 관계", Asian Oncology Nursing, 19(3), pp.142~149 (2019), 대한종양간호학회[DOI]
- 장경희, "사전연명의료의향서 작성 동기에 관한 연구", 한국산학기술학회논문지, 20(10), pp.243~249 (2019), 한국산학기술학회[DOI]
- Park YO, "The experience of family members on deciding to withdraw life-sustaining treatment for patients who are terminally ill", 2004 Spring Conference. The Meeting of Korean Society of Nursing Science, pp.65~ (2004), Korean Society of Nursing Science
- 김명숙, "지역사회 재가노인의 사전연명의료의향서 작성의도 영향 요인", 한국콘텐츠학회 논문지, 18(2), pp.240~247 (2018), 한국콘텐츠학회[DOI]
- Osteen KA, "Relationship between self-care attitudes, hierarchy of values, and intent to complete advance directives", master, pp.1997
- 김현숙, "지역사회거주 노인의 연명치료 중단에 대한 자기결정 영향 요인", 성인간호학회지, 28(3), pp.334~342 (2016), 한국성인간호학회[DOI]
- 김현숙, "지역사회 거주 노인의 사회적 지지가 연명치료중단에 대한 태도에 미치는 영향: 자아존중감의 매개효과", 성인간호학회지, 29(4), pp.373~381 (2017), 한국성인간호학회[DOI]
- 이혜림, "복지관 이용 노인의 사전의사결정에 대한 태도", 노인간호학회지, 16(2), pp.160~169 (2014), 한국노인간호학회
- Joung HY, "Effects of a self-decision-making enrichment program on senior citizen's advance directives", pp.2012
- Klugman CM, "An evaluation of 2 online advance directive programs", American Journal of Hospice and Palliative Medicine, 30(7), pp.657~663 (2013)[DOI]
- Ko E, "End-of-life communication : ethic differences between Korean American and non-Hispanic white older adults", Journal of Aging Health, 21(7), pp.967~984 (2009)[DOI]
- 김영선, "교대근무자의 수면의 질 구조모형", 대한보건연구, 47(3), pp.45~58 (2021), 사단법인 대한보건협회[DOI]
- Ajzen I, "Understanding attitudes and predicting social behavior" (1980), Prentice Hall
- Hayes AF, "Introduction to mediation, moderation, and conditional process analysis: a regression-based approach", pp.507~ (2013), Guilford
- "Hospice act on palliative care and life-sustaining medical decisions for patients at end of life" (2018)[URL]
- Auslander GK, "Social support networks and formal help seeking : differences between applicants to social services and a nonapplicant sample", Journal of Gerontology, 45(3), pp.S112~S119 (1990)[DOI]
- 조추용, "노인의 죽음태도가 자아존중감에 미치는 영향에 관한 연구", 노인복지연구, (63), pp.203~227 (2014), 한국노인복지학회[DOI]