Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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The Effects of Ego Integrity Trait of Elderly Persons on Life-sustaining Treatment Preferences

노인의 자아통합적 특성이 연명치료 선호도에 미치는 영향

  • Lee, Mee-Ae (Hansei University, Div. of Humanities & Community)
  • Received : 2015.12.22
  • Accepted : 2016.02.20
  • Published : 2016.02.28
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Abstract

The purpose of this study is to attempt to analyze factors affecting elderly persons' life-sustaining treatment preferences, focusing on ego integrity trait. This study used data from Elderly Profiles and Welfare Needs of the Elderly Persons(2014). The analysis sample was 10,451 cases. 86.4 percent of the sample responded that they disagree with life-sustaining treatment. Analysis results are as follows: being female(${\beta}=-.045$, p<.001), the younger(${\beta}=-.024$, p<.05), having more education years(${\beta}=.027$, p<.05), higher satisfaction of life(${\beta}=.022$, p<.05), responding that they had thought about their own funeral(${\beta}=.032$, p<.01), responding that they had used senior centers over the last one year(${\beta}=-.038$, p<.01) are related to disapproval of life sustaining treatment. This research shows that ego integrity trait such as satisfaction of life, or accepting and preparing one's own death, is related to disapproval of life-sustaining treatment.

본 연구는 65세 이상 노인들의 연명치료 선호도에 영향을 미치는 요인들을 규명하는 것을 주목적으로 한다. 분석을 위해 한국보건사회연구원의 "2014년도 전국 노인생활실태 및 복지욕구조사"의 데이타베이스를 활용하였고 분석표본은 10,451건이었다. 응답자의 86.4 퍼센트가 무의미한 연명치료를 원하지 않는 것으로 나타났다. 다중회귀 분석결과, 여성일 경우(${\beta}=-.045$, p<.001), 연령이 낮을수록(${\beta}=-.024$, p<.05), 교육수준이 높을수록(${\beta}=.027$, p<.05), 연명치료를 원하지 않은 것으로 나타났다. 자아통합적 특성과 연명치료 선호도 간 구체적 영향관계는 삶의 만족도가 높을수록(${\beta}=.022$, p<.05), 본인의 죽음에 대해 생각해본 적이 있는 경우(${\beta}=.032$, p<.01), 연명치료 선호도가 낮은 것으로 나타났다. 반면 경로당이용을 통해 사회적 소속감을 느끼는 경우(${\beta}=-.038$, p<.01), 연명치료 선호도가 높은 것으로 나타났다. 노인의 자아통합 발달이 무의미한 연명치료를 본인에게 해야 할 상황에 처했을 때 연명치료 반대결정에 영향을 준다는 본 연구결과는 자아통합을 이룰 수 있도록 촉매역할을 하는 노인복지 프로그램의 제공을 통해 무의미한 연명치료를 줄일 수 있는 가능성을 시사한다.

Keywords

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