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http://dx.doi.org/10.7475/kjan.2015.27.4.449

Factors Influencing Attitude toward Advance Directives of Older Cancer Patients  

Lee, Min Hye (College of Nursing, Seoul National University)
Park, Yeon-Hwan (College of Nursing, The Research Institute of Nursing Science, Seoul National University)
Publication Information
Korean Journal of Adult Nursing / v.27, no.4, 2015 , pp. 449-458 More about this Journal
Abstract
Purpose: The aims of this study were to identify the reported attitudes of older patients with cancer toward advance directives (ADs) and the factors associated with their attitudes toward ADs. Methods: The design was a cross-sectional survey. The age mean of the 130 participants were 70.8, and 66.2% of the participants were male. The data were collected at one university hospital in Seoul, South Korea during the period from October $1^{st}$ to December $5^{th}$ in 2013. The data collecting instruments were the Advance Directives Attitude Survey (ADAS) and questionnaires including socio-demographic and disease-related characteristics, family function. Results: 30.0% of the participants were aware of ADs, only 9% of them had been informed by healthcare providers. Most participants (93.1%) intended to complete ADs. The mean score of ADAS was 48.29. The stepwise linear regression analysis indicated that family function, perceived health status, period of education, and age accounted for a significant percentage (52.0%, p<.001) of the variance in participants' ADAS. The variable with the greatest effect was family function. Conclusion: The findings suggest that family function and attitude of older cancer patients need to be considered for adapting ADs to Korean health care systems. Healthcare providers should include family members in advanced care planning discussions.
Keywords
Advance directives; Advance care planning; Aged; Cancer; Family;
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