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http://dx.doi.org/10.14370/jewnr.2014.20.2.103

Characteristics of End of Life Sustaining Treatment and Attitudes towards Advance Directives among Geriatric Patients  

Jung, Seungyun (Pusan National University Hospital)
Lee, Haejung (College of Nursing, Pusan National University)
Lee, Sunghwa (College of Nursing, Pusan National University)
Publication Information
Journal of East-West Nursing Research / v.20, no.2, 2014 , pp. 103-111 More about this Journal
Abstract
Purpose: The purpose of this study was to identify the characteristics of life-sustaining treatment and attitudes towards advance directives among geriatric patients. Methods: The elderly participants (N=146) were recruited from a university hospital from October 30, 2012 to March 31, 2013. A questionnaire for collecting data of participants' characteristics, their experiences related to life-sustaining treatment, and attitudes towards advance directives was used. The data were analyzed using SPSS WIN 17. Results: Most participants (84.9%) were in favor of advance directives. Although most of participants wanted to receive CPR for sudden cardiac arrest (78.8%) and pain control medication (74.0%), most preferred to refuse life-sustaining treatments such as tracheostomy (96.6%) or ventilator (87.0%). Participants who had a family or acquaintances with CPR experiences (U=852.00 p=.038), had discussed with their family and acquaintances regarding end-of-life sustaining treatment (t=2.91, p=.004), or made decisions about refusing the life sustaining treatments (t=3.19, p=.002) preferred to have advance directives than those who did not. Conclusion: The findings of this study suggested the potential benefits of educational programs about advance directives for the end-of-life for geriatric patients to make decisions for life-sustaining treatments in advance.
Keywords
Advance directives; elderly; terminal care;
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