Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Effect of Educational Program on Withdrawing LifeSustaining Treatment for Elderly

노인을 대상으로 한 연명치료중단 교육프로그램의 효과

  • Received : 2014.12.23
  • Accepted : 2015.01.08
  • Published : 2015.01.31
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Abstract

The purpose of this study was to evaluate the effect on knowledge, attitude and volition of DNR after implementing the educational program of withdrawing life sustaining treatment to elderly people. The subjects for this study were healthy elders over 65 year-old at J elderly center located at S city, Korea. Data were gathered from October 2 to November 9, 2012. Participants were randomly assigned to either experimental or control group. For the experimental group, a 50 minute educational program on withdrawing life-sustaining treatment program was delivered twice a week for 3 weeks, and the control group did not receive any education. DNR knowledge (F=4.158;p=.049), DNR attitude (F=39.60; p=.001) were higher in experimental group compare to control group. Changes in number of participants who were determined to choose DNR for themselves (p=.006), for spouse (p=.039) and for parents (p=.006) were significantly higher in experimental group compared to control group. The program was effective in changing participant's knowledge, attitude and volition toward DNR and this program can be utilized to guide the decision making process of DNR for elderly.

본 연구는 일상생활이 가능한 65세 이상 노인에게 연명치료중단 교육프로그램을 적용한 후 대상자들의 심폐소생술 금지(Do-Not-Resuscitate, DNR)에 대한 지식, 태도 및 시행의지에 미치는지 효과를 규명하기 위한 목적으로 시도 되었다. 연구대상은 S시에 소재한 J복지관출석 노인 총 40명 이었고 자료수집은 2012년 10월 2일에서 동년 11월 9일까지 진행되었다. 실험군에게는 연명치료중단 교육프로그램을 1회당 50분, 주 2회, 3주에 걸쳐 실시하였으며, 대조군에게는 시간차를 두고 설문지만 작성하게 하였다. 연구결과 연명치료중단 교육프로그램을 실시 후 DNR 지식점수(F=4.158;p=.049)와 DNR 태도점수(F=39.60; p=.001)는 실험군이 대조군에 비해 유의하게 높았다. 또한 연명치료중단 교육프로그램 실시 후 DNR 시행의지 점수는 형제자매(p=.344), 자녀(p=.109)를 제외한 본인(p=.006), 배우자(p=.039), 부모님(p=.006)에서 실험군이 대조군에 비해 유의하게 높았다. 이상의 연구결과로 연명치료중단 교육프로그램이 일반 노인의 DNR 지식, DNR 태도 및 형제자매, 자녀를 제외한 DNR 시행의지에 영향을 미치는 것으로 나타났으며 추후 노인들의 DNR 의사결정을 돕기위한 자료로 활용될 수 있겠다.

Keywords

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