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http://dx.doi.org/10.14475/kjhpc.2016.19.2.109

The Evaluation of the Korean Advance Directives (K-AD)  

Kim, KiSook (Department of Nursing, Changwon National University)
Kim, Shinmi (Department of Nursing, Changwon National University)
Hong, Sunwoo (Department of Emergency Medicine Technology, Daejeon University)
Kim, JinShil (College of Nursing, Gachon University)
Publication Information
Journal of Hospice and Palliative Care / v.19, no.2, 2016 , pp. 109-118 More about this Journal
Abstract
The purpose of this study was to evaluate Korean advance directives (K-AD) by examining the degree of adults' acceptance and reliability of the directive itself. Methods: Survey was performed with 181 adults aged 20 or older who were recruited from three regions. A questionnaire used to examine the participants' acceptance of their K-AD in terms of visual analogue scale score of complexity, difficulty, necessity, satisfaction, recommendation. Then, a retest was carried out by asking participants to write up a K-AD again to confirm the reliability of the directives. Results: On a scale of 100, the average acceptance score was 70 or above, which represents rather high level of acceptance in all five categories. The test-retest reliability kappa values ranged from 0.592 to 0.950, and the conformity degree was moderate or high. Regarding K-AD components such as values, treatment preference, proxy appointment, differences among age groups were observed in each component. Conclusion: The results of this study suggest that K-AD is a feasible instrument to analyze its acceptability and reliability for adult population. K-AD could be utilized to help people make their own decision on their end-of-life care. Further studies are needed to confirm this study results and promote widespread use of K-AD.
Keywords
Advance directives; Terminal care; Feasibility studies;
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Times Cited By KSCI : 5  (Citation Analysis)
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