한국임상약학회지 (Korean Journal of Clinical Pharmacy)

  • 제31권2호
  • /
  • Pages.145-152
  • /
  • 2021
  • /
  • 1226-6051(pISSN)
  • /
  • 2508-786X(eISSN)
한국임상약학회 (Korean College Of Clinical Pharmacy)
권호 표지
DOI QR코드

DOI QR Code

웰다잉 인식과 사전연명의료의향서 작성 관련 지역약국 상담서비스 이용 의향

A Survey on Willingness to Accept Community Pharmacist's Consultation Service Regarding Well-dying

  • 신기웅 (차의과학대학교 약학대학) ;
  • 손현순 (차의과학대학교 약학대학)
  • 투고 : 2021.03.08
  • 심사 : 2021.06.20
  • 발행 : 2021.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: The Life-Sustaining Treatment Decision-Making Act has allowed anyone aged 19 or older to sign an Advance Directive not to receive life-sustaining treatment when they are in the 'death process'. Recently, the Korean Pharmaceutical Association announced to raise awareness of the Advance Directive to the general public through community pharmacies across the country. This study aimed to investigate the public's willingness to accept pharmacist's consultation regarding the Advance Directive and to present future directions to pharmacists Methods: This cross-sectional questionnaire study using 16-items was conducted in adults, Study subjects were recruited by convenience sampling method during August 5-15, 2020. Results: Of 460 respondents, 51.7% were younger than 30-year-old and 58.7% were not in the healthcare field in terms of job or major. 60.2% knew about the Advance Directive and 81.7% agreed the necessity to sign when healthy. 50.0% had the willingness to consult with pharmacists on the Advance Directive for well-dying and 80.4% preferred verbal explanation together with written information. Simple linear regression analysis results showed a significant relationship between trust in pharmacists or satisfaction with pharmacist's communication and willingness to use pharmacist' consultation on the Advance Directive (1-point increases in values measured on a five-point scale are associated with 0.464 and 0.486 increases, respectively.) Conclusion: This study suggests that pharmacists need to improve the public's trust and communication capability to satisfy with public's demands on well-dying service.

키워드

참고문헌

  1. Kim JH. The supreme decision on the withdrawal of life sustaining treatment: 'Madam kim' case reviewed by the life sustaining treatment determination act. The Korean Society of Law and Medicine 2016;17(2):257-79.
  2. Hwang MS, Lee MY. The Seoul Metropolitan Government needs to create a 'comprehensive driving base' for well-dying and requires systematic approach by life cycle when establishing policies. Available from https://www.si.re.kr/node/63089. Accessed February 25, 2021.
  3. Kim MH. The problems and the improvement plan of the hospice/palliative care and dying patient's decisions on life-sustaining treatment act. J Hosp Palliat Care 2018;21(1):1-8. https://doi.org/10.14475/kjhpc.2018.21.1.1
  4. National Agency for Management of Life-Sustaining Treatment. Easy-to-see life-sustaining treatment decision-making system for medical staff. Available from https://www.lst.go.kr/comm/referenceDetail.do?pgNo=1&cate=&searchOption=0&searchText=&bno=1455. Accessed February 25, 2021.
  5. National Agency for Management of Life-Sustaining Treatment. Monthly statistics. Available from https://www.lst.go.kr/comm/monthlyStatistics.do. Accessed February 25, 2021.
  6. Yang SM, Hwang EH. Death anxiety and dignified death attitudes of pre-elderly who opt for signing advance directives. J Korean Public Health Nurs 2020;34(2):251-62. https://doi.org/10.5932/JKPHN.2020.34.2.251
  7. Yeom EY, Seo KS. Influence of older person's ego integrity and knowledge of advance directives on their attitude toward withdrawal from life-sustaining treatment. J Korean Gerontol Nurs 2019;21(3): 173-82. https://doi.org/10.17079/jkgn.2019.21.3.173
  8. The Korean Pharmaceutical Association. Korean Pharmaceutical Association-Well-dying Citizens' Movement, Business Convention for the Formation of a Beautiful Life Finishing Culture. Available from http://www.kpanet.or.kr/news/press_view.jsp?s_class=kpa_news&rnum=1&oid=6067&intPageNo=1&keyField=A.subject&searchField=welldying&PageSize. Accessed February 25, 2021.
  9. Ministry of the Interior and Safety. Population status by age in May 2020. Available from https://jumin.mois.go.kr/ageStatMonth.do. Accessed February 25, 2021
  10. Anti-Corruption & Civil Rights Commission (Resolution No. 2019-419). Improving access to the Advance Directive. Available from http://www.acrc.go.kr/acrc/board.do?command=searchDetailTotal&method=searchDetailViewInc&menuId=05050403&boardNum=80983. Accessed February 25, 2021.
  11. Korean Statistical Information Service. Number of deaths by gender/age (5 years old unit) and mortality rate in 2019. Available from http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B80A13&vw_cd=MT_ZTITLE&list_id=A22&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE. Accessed February 25, 2021.
  12. Kim S, Han JR. Adults' death perception, death preparation, and death anxiety. Korea Journal of Population Education 2012;5(1):23-48.
  13. Yoon DY, Ha JE, Sohn HS. A survey of the general publics' perceptions and expectations for community pharmacy services. Journal of Korean Academy of Social & Managed Care Pharmacy 2017;6(1):38-49.
  14. Sohn HS, Kim H, Park H, Han N, Oh JM, Ji E. Pharmaceutical care services of community pharmacies in Korea through the review of literature. Korean J Clin Pharm 2015;25(1):18-27.
  15. The Seoul Pharmaceutical Association. Introducing Pharmacy for Teenage Girls. Available from https://www.spa.or.kr/board/NOTICE/board.do?SQ=233275. Accessed February 25, 2021.
  16. Republic of Korea. Act on decisions on life-sustaining treatment for patients in hospice and palliative care or at the end of life. No. 14013 (2016.02.03). Available from http://www.law.go.kr/lsInfoP.do?lsiSeq=180823#0 000. Accessed February 25, 2021.
  17. Ministry of Health and Welfare (Notice No. 2020-271). Guidance on 2nd application for designation of Agency for Registration of Advance Statements on Life-Sustaining Treatment. Available from http://www.mohw.go.kr/react/al/sal0101vw.jsp?PAR_MENU_ID=04&MENU_ID=040102&CONT_SEQ=353865. Accessed February 25, 2021.
  18. Korea Pharmaceutical Association News. The Korean Pharmaceutical Association was awarded the National Assembly Vice-Speaker's Award for its contribution to well-dying culture written by Han SI. May 20, 2020. Available from https://www.kpanews.co.kr/article/show.asp?category=C&idx=213350. Accessed February 25, 2021.