Browse > Article
http://dx.doi.org/10.14400/JDC.2016.14.2.489

The Effects of Ego Integrity Trait of Elderly Persons on Life-sustaining Treatment Preferences  

Lee, Mee-Ae (Hansei University, Div. of Humanities & Community)
Publication Information
Journal of Digital Convergence / v.14, no.2, 2016 , pp. 489-499 More about this Journal
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.
Keywords
life-sustaining treatment preferences; ego integrity; well-dying; Erickson; interdisciplinary;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Korean Academy of Medical Sciences. "Korean Medical Association for the medical ethics guidelines to stop treatment keep the patient's deathbed", pp. 1-137 2002
2 Shin-Mi Kim, Mee-Ae Lee, Soon-Yi Kim, "A Survey on Life Sustaining Treatment Experienced by Adults with Deceased Family Member". Journal of the Korea Gerontological Society, Vol. 21, No. 3, pp. 15-27, 2002.
3 Jae-Won Kim, "How to meet one's death?", Policy debate hosted by member of the National Assembly Jae-Won Kim, 6-7, May, 22nd, 2015.
4 Sang-Ik Hwang, "Withdrawing the Treatment of the Hopeless Patients and Medical Ethics". Journal of the Korean Medical Association, Vol. 41, No. 7, pp. 697-701, 1998.   DOI
5 Myeong-Se Son,. "Ethical and Legal Aspect of Termination of Hosptial Care". Journal of the Korean Medical Association, Vol. 41, No. 7, pp. 707-711, 1998.   DOI
6 Yoon-Suk Ko, "How to meet one's death?", Policy debate hosted by member of the National Assembly Jae-Won Kim, 6-7, May, 22nd, 2015.
7 Mee-Ae Lee, Seong-Gyu Lee, Hyun-Ran Kim, "The Effects of Gerontranscendental Life-styles on Quality of Life: The Probability of Combining Gerontranscendental Education Programs for Dying Patients", Korean J Med Ethics Vol. 17, No. 2, pp. 117-132, 2014.
8 Sung-Jae Choi, In-Hyub Chang, "Social walfare for older persons in aging society", Seoul National University Press, pp. 95, 2010.
9 Fazel, S, Hope, T, Jacoby, R, "Effect of Cognitive Impairment and Premorbid Intelligence on Treatment Preferences for Life-sustaining Medical Therapy". American Journal of Psychiatry, Vol. 157 No. 6, pp. 1009-11, 2000.
10 Shin-Mi Kim, Ki-Sook Kim, In-Sook Lee, Soon-Yi Kim, "Perception towards advance directives, hospice-palliative care, life-sustaining treatment among the middle aged adults". Korean Journal of Social Welfare Research, Vol. 37, pp. 21-44, 2013.
11 Soon-Yi Kim, Mee-Ae Lee, Shin-Mi Kim, "Survey on Preferences Towards Advance Directives in Korean Adults", Korean J Med Ethics Educ, Vol. 4, No. 4, pp. 231-244, 2001.
12 Shin-Mi Kim, Soon-Yi Kim, Mee-Ae Lee, "Review on Advance Directives", Korean J Nursing, Vol. 31, Vol. 2, pp. 279-291, 2001.   DOI
13 Mee-Ae Lee, "Survey on Physicians' Opinions on Life-sustaining Treatment in the ICU", Korean J Med Ethics Educ, Vol. 7, No. 1, pp. 91-101, 2004.
14 Shin-Mi Kim, Ki-Sook Kim, In-Sook Lee, Soon-Yi Kim, "Perception towards advance directives, hospice-palliative care, life-sustaining treatment among the middle aged adults". Korean Journal of Social Welfare Research, Vol. 37, pp. 21-44, 2013.
15 Yamazaki Fumio. "Dying in a Japanese Hospital", 1990, translated by Dae-Hwan Kim, It Book, pp. 1-296, 2011.
16 Fazel, S, Hope, T, Jacoby, R, "Effect of Cognitive Impairment and Premorbid Intelligence on Treatment Preferences for Life-sustaining Medical Therapy". American Journal of Psychiatry, Vol. 157 No. 6, pp. 1009-11, 2000.
17 Shin-Mi Kim, Soon-Yi Kim, Mee-Ae Lee, "Review on Advance Directives", Korean J Nursing, Vol. 31, Vol. 2, pp. 279-291, 2001.   DOI
18 Eun-Suk Yun, "Knowledge, experience, attitudes and preferences toward advance directives among patients and their family members who are visiting the general hospital". Master's thesis dissertation, Hanyang University, pp. 1-60, 2009
19 Ki-Hyun Kim. "Comparison of the response of lung cancer patients, family members, doctors, and nurses about advance directives of lung cancer patients". Master's thesis dissertation, Kyunghee University. pp. 1-90, 2010.
20 Mee-Ae Lee, "Survey on Physicians' Opinions on Life-sustaining Treatment in the ICU", Korean J Med Ethics Educ, Vol. 7, No. 1, pp. 91-101, 2004..
21 Wolf, SM, Boyle, P, Callahan, D, Fins, JJ, Jennings, B, Nelson, JM, Barondess, JA, Rock, DW, Dresser, R, Emanuel, L, Johnson, S, Lantos, J, Mason, DR, Mezey, M, Oretlicher, D, Rouse, F, "Special Report: Sources of Concern about the Patient Self-determination Act". The New England Journal of Medicine(Editorial), Vol. 325, No. 23, pp. 1666-1671, 1991.
22 Godkin, MD & Toth, EL, "Cardiopulmonary Resuscitation and Older Adults' Expectations", The Gerontologist, Vol. 34, No. 6, pp. 797-802, 1994.   DOI
23 Shin-Mi Kim, Mee-Ae Lee, Soon-Yi Kim, "A Survey on Life Sustaining Treatment Experienced by Adults with Deceased Family Member", Journal of the Korea Gerontological Society, Vol. 21, No. 3, pp. 15-27, 2002.
24 Godkin, MD & Toth, EL, "Cardiopulmonary Resuscitation and Older Adults' Expectations", The Gerontologist, Vol. 34, No. 6, pp. 797-802, 1994.   DOI
25 Erikson E.H. "Childhood and society", New York: W. W. Norton & Company, pp. 1-445, 1950.
26 Sjokvist, P, Berggren, L, Cook, DJ, "Attitudes of Swedish Physicians and Nurses Towards the Use of Life-sustaining Treatment", Acta Anaesthesiol Scand, Vol. 43, No. 2, pp. 167-72, 1999.   DOI
27 George Eman Vaillant. "Aging well : surprising guideposts to a happier life from the landmark 2002", translated by Duck-Man Lee, Frontier, pp. 1-488, 2010.
28 Erikson E.H, "Childhood and society", New York: W. W. Norton & Company, pp. 1-445, 1950.
29 Erik H. Erikson, "Childhood and Society", translated by Jae-Hoon Song, Yunamseoga, pp. 1-528, 2014.
30 Sung-Jae Choi, In-Hyub Chang, "Social walfare for older persons in aging society", Seoul National University Press, pp. 1-752, 2010.
31 George Eman Vaillant. "Aging well : surprising guideposts to a happier life from the landmark 2002", translated by Duck-Man Lee, Frontier 2010.
32 Erikson E.H. "Childhood and society", New York: W. W. Norton & Company, pp. 1-445, 1950.
33 Erik H. Erikson, "Childhood and Society", translated by Jae-Hoon Song, Yunamseoga, pp. 1-528, 2014.
34 Sun-Ae Park, Jun-Soo Hur, "Determinants of the Death Anxiety among the Elderly", Mental Health & Social Work, Vol. 40, No. 1, pp. 59-88, 2012.
35 Hee-Sun Nam, So-Yeon Park, Kyoung-Young Park, "Correlation Study of Characteristics of Bio-medical Ethics and Self-esteem For Undergraduate Students", Journal of the Korea Convergence Society, Vol. 6, No. 6, pp. 255-261, 2015.   DOI
36 Youn-Ho Lee, "The Differential Effects of Death Fear on the Meaning Perceptions in Life by Death Acceptance Levels", Korean Journal of Psychology: General, Vol. 33, No. 1, pp. 263-283, 2014.
37 Seung Ae Yang, "Convergence Analysis of the Factors Influencing Terminal Care Attitude", Journal of the Korea Convergence Society, Vol. 6, No. 4, pp. 73-88, 2015.   DOI