[논문]Factors that Influence Attitudes toward Advance Directives among Hemodialysis Patients

Minhee Cho; Hyunjoo Na

doi:10.14475/jhpc.2024.27.1.11

Factors that Influence Attitudes toward Advance Directives among Hemodialysis Patients

Journal of hospice and palliative care, v.27 no.1, 2024년, pp.11 - 20

Minhee Cho (The Catholic University of Korea, Uijeongbu ST. Mary's Hospital) , Hyunjoo Na (College of Nursing, The Catholic University of Korea)

Abstract ▼ AI-Helper

Purpose: Advance directives (ADs) are legal documents that outline a person's preferences or decisions regarding end-of-life care ahead of time. In Korea, there is insufficient awareness and knowledge about ADs among patients undergoing hemodialysis. This study explored the relationship between perceptions of a good death, knowledge about ADs, and attitudes toward ADs in this patient population. Methods: This cross-sectional survey enrolled 119 hemodialysis patients from a secondary hospital in 2021. The participants completed a self-administered questionnaire, and the data were analyzed using the t-test, analysis of variance, Pearson correlation coefficients, Spearman rank correlation coefficients, and multiple regression analysis. Results: The average score for perceptions of a good death among hemodialysis patients was 2.80 out of 4, with clinical symptoms identified as the most critical factor. The average scores for knowledge about ADs and attitudes toward ADs were 5.69 out of 9 and 2.79 out of 4, respectively. There was a positive correlation between perceptions of a good death and attitudes toward ADs (r=0.34, P<0.001), as well as between knowledge about Ads and attitudes toward ADs (r=0.19, P=0.037). Factors influencing attitudes toward Ads included employment status (β=0.22, P=0.011), education level (β=0.22, P=0.013), and perceptions of a good death (β=0.29, P=0.001), which accounted for 24.8% of the variance in attitudes toward ADs. Conclusion: A positive perception of a good death among patients undergoing hemodialysis was associated with a positive attitude toward ADs. Educational programs are needed to improve individuals' understanding of a good death and encourage the development of end-of-life care plans.

주제어

참고문헌 (30)

ESRD registry committee, Korean Society of Nephrology. Korean ESRD registry 2019 [Internet]. Seoul: Korean Society of Nephrology; 2019？[cited 2023 Apr 26]. Available from: https://ksn.or.kr/bbs/?codereport_eng.？
ESRD registry committee, Korean Society of Nephrology. End-stage renal disease (ESRD) in Korea in numbers. KSN NEWS 2018;12:4-5.？
Germain MJ, Cohen L. Supportive care for patients with renal disease: time for action. Am J Kidney Dis 2001;38:884-6.？

상세보기
Arulkumaran N, Szawarski P, Philips BJ. End of-life care in patients with end-stage renal disease. Nephrol Dial Transplant 2012;27:879-81.？

상세보기
Kim EJ, Lee YJ. Good death awareness, attitudes toward advance directives and preferences for care near the end of life among hospitalized？elders in long-term care hospitals. J Korean Acad Fundam Nurs 2019;26:197-209.？
Cohen LM, Poppel DM, Cohn GM, Reiter GS. A very good death: measuring quality of dying in end-stage renal disease. J Palliat Med？2001;4:167-72.？
Kim SN, Kim HJ. Recognition of good death, attitude towards the withdrawal of life-sustaining treatment, and attitude towards euthanasia in？nurses. Korean J Hosp Palliat Care 2016;19:136-44.？
Cho YH, Shu SR. Awareness of the good death and attitude toward death among nursing students. AJMAHS 2017;7:597-607.？

상세보기
Kim CG. Factors influencing perception of good death among the community-dwelling elderly. Korean J Hosp Palliat Care 2014;17:151-60.？
Lee MS, Kim YJ. Good death recognized by the elderly. Jour. of KoCon.a 2013;13:283-99.？
Hwang YH. Perceived well dying, knowledge and attitude toward advance directives in older patients with chronic heart disease [master's？thesis]. Seoul: Hanyang Univ.; 2017. Korean.？
Park SU, Kang YS. The effect of cancer patients' knowledge of advanced directives and perception of good death on attitude toward withdrawal of life-sustaining treatment. JKAIS 2021;22:539-47.？
Lim HS, Yoo JS. Factors affecting on death anxiety in elderly cancer survivors: focusing on ego integrity, depression and awareness of good？death. JKAIS 2020;21:197-207.？
National Agency for Management of Life-Sustaining Treatment. Life-sustaining treatment plans [Internet]. Seoul: KoNIBP; c2018 [cited 2023 Apr 26]. Available from: https://www.lst.go.kr/addt/medicalintent.do.？
Jeong EJ. The meaning of life, perception of well dying, and attitudes toward advance directives among older cancer patients [master's thesis]. Busan: Pusan National Univ.; 2018. Korean.？
Nam YH, Seo IS, Lim JH, Choi JH, Kim JE, Cho JH, et al. Application of advance directives for patients with end stage renal disease. Kidney Res？Clin Pract 2008;27:85-93.？
Joung SA, Park KY. The relationships between knowledge on advance directive, attitudes towards the withdrawal of life-sustaining treatment and quality of life in hemodialysis patients. J Korean Acad Community Health Nurs 2017;28:291-301.？
Yeom EY. The influence of good death awareness and knowledge of advance directives on attitude toward advance directives in middle-aged adults. Jour. of KoCon.a 2021;21:676-85.？
Park KR, Jang SH. A correlation study of perception to hospice and knowledge and attitude to advanced directives in adults in a local community. KSIM 2019;7:181-91.？
Jeong ML, Jeong E. Effects of perception on hospice, self-esteem, knowledge on advance directives in nursing student on attitudes toward？advance directives. Journal of Digital Convergence 2019;17:255-64.？
Ryu MH. Public knowledge and attitude towards advance directives and their intention towards withdrawing life-sustaining treatment. JKAIS？2022;23:297-307.？
Perry E, Swartz R, Smith-Wheelock L, Westbrook J, Buck C. Why is it difficult for staff to discuss advance directives with chronic dialysis patients? J Am Soc Nephrol 1996;7:2160-8.？

상세보기
Schwartz CE, Mazor K, Rogers J, Ma Y, Reed G. Validation of a new measure of concept of a good death. J Palliat Med 2003;6:575-84.？

상세보기
Yoo HI, Yi YH. Middle-aged adults' attitudes toward dignified death and advance directives, and knowledge of advance directives. J Korean？Clin Nurs Res 2020;26:86-96.？
Hong SW, Kim SM. Knowledge regarding advance directives among community-dwelling elderly. J Korean Acad Soc Nurs Educ 2013;19:？330-40.？
Lee HL, Park YH. Attitudes toward advance directives of older adults using senior centers. J Korean Gerontol Nurs 2014;16:160-9.？
Nolan MT, Bruder M. Patients' attitudes toward advance directives and end-of-life treatment decisions. Nurs Outlook 1997;45:204-8.？
Cha JE, Yi MS. Symptom clusters and quality of life in patients on hemodialysis. J Korean Clin Nurs Res 2014;20:123-33.？
Kim MS, Gang MH, Kim YO. Completion and related factors of advance directives in old adults. Jour. of KoCon.a 2018;18:240-7.？
Lee HL, Park YH. Attitudes toward advance directives of older adults using senior centers. J Korean Gerontol Nurs 2014;16:160-9.？

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

Factors that Influence Attitudes toward Advance Directives among Hemodialysis Patients

Abstract ▼ AI-Helper

주제어

참고문헌 (30)

이 논문을 인용한 문헌

관련 콘텐츠

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트