Correlates of advance directive treatment preferences among community-dwelling older people with chronic diseases
DC Field | Value | Language |
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dc.contributor.author | Kim, JinShil | - |
dc.contributor.author | Heo, Seongkum | - |
dc.contributor.author | Hong, Sun Woo | - |
dc.contributor.author | Shim, JaeLan | - |
dc.contributor.author | Lee, Jung-Ah | - |
dc.date.available | 2020-02-27T03:40:49Z | - |
dc.date.created | 2020-02-04 | - |
dc.date.issued | 2019-06 | - |
dc.identifier.issn | 1748-3735 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/1443 | - |
dc.description.abstract | BackgroundConcerns over the creation of advance directives (ADs) and the factors associated with treatment directive decisions among Korean community-dwelling older people with chronic diseases have rarely been addressed. ObjectivesThis study aimed to examine knowledge, attitudes and barriers/benefits regarding ADs and their associations with AD treatment preferences among chronically ill, low-income, community-dwelling older people. MethodsUsing a descriptive, correlational design, older people who were recipients of home visiting service for chronic disease management participated in this study. Home visiting nurses collected data on knowledge, attitudes and perceived barriers/benefits and treatment directives using questionnaires during home visits. ResultsOlder people (N=112, mean age=74.9years, women=83.9%) who had chronic diseases such as hypertension (56.3%), diabetes mellitus (40.2%) and cardiovascular disease/stroke (22.3%) participated. Approximately half of the participants preferred hospice care (54.5%), while a few of them preferred aggressive treatments: cardiopulmonary resuscitation (CPR) (14.3%), ventilation support (9.8%) and haemodialysis (8.9%). Being married was associated with the likelihood of preferring CPR (odds ratio [OR]=11.79) and ventilation support (OR=9.99), higher education with CPR (OR=1.23) and haemodialysis (OR=1.16), and having a cardiovascular disease (CVD)/stroke with CPR (OR=6.46) and hospice care (OR=3.06). Among the modifiable factors, greater perceived barriers increased the likelihood of CPR preference (OR=1.12) but decreased the likelihood of hospice care preference (OR=0.96). Greater perceived benefits decreased the likelihood of CPR preference (OR=0.81) and ventilation support (OR=0.89), and AD knowledge decreased the likelihood of haemodialysis preference (OR=0.23). ConclusionThe multidimensional factors were differently associated with each of the AD treatment preferences. Modifiable factors, including perceived barriers and benefits and knowledge, should be improved to help low-income, community-dwelling older people select adequate AD treatment preferences. Implications for practiceAdditional information regarding AD treatments and some modifiable and non-modifiable correlates can be integrated into primary and palliative/supportive care in public health. The current home visitation service may also benefit from incorporating AD discussions while extending the service to embrace AD issues in addition to disease management. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | WILEY | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING | - |
dc.subject | OF-LIFE CARE | - |
dc.subject | ETHNIC-DIFFERENCES | - |
dc.subject | KOREAN-AMERICAN | - |
dc.subject | COMPLETION | - |
dc.subject | ATTITUDES | - |
dc.subject | KNOWLEDGE | - |
dc.subject | CANCER | - |
dc.subject | ADULTS | - |
dc.subject | PERCEPTIONS | - |
dc.subject | AWARENESS | - |
dc.title | Correlates of advance directive treatment preferences among community-dwelling older people with chronic diseases | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000474861100007 | - |
dc.identifier.doi | 10.1111/opn.12229 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, v.14, no.2 | - |
dc.identifier.scopusid | 2-s2.0-85062374757 | - |
dc.citation.title | INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING | - |
dc.citation.volume | 14 | - |
dc.citation.number | 2 | - |
dc.contributor.affiliatedAuthor | Kim, JinShil | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | advance directives | - |
dc.subject.keywordAuthor | attitude | - |
dc.subject.keywordAuthor | barriers | - |
dc.subject.keywordAuthor | benefits | - |
dc.subject.keywordAuthor | chronic disease | - |
dc.subject.keywordAuthor | knowledge | - |
dc.subject.keywordAuthor | older people | - |
dc.subject.keywordPlus | OF-LIFE CARE | - |
dc.subject.keywordPlus | ETHNIC-DIFFERENCES | - |
dc.subject.keywordPlus | KOREAN-AMERICAN | - |
dc.subject.keywordPlus | COMPLETION | - |
dc.subject.keywordPlus | ATTITUDES | - |
dc.subject.keywordPlus | KNOWLEDGE | - |
dc.subject.keywordPlus | CANCER | - |
dc.subject.keywordPlus | ADULTS | - |
dc.subject.keywordPlus | PERCEPTIONS | - |
dc.subject.keywordPlus | AWARENESS | - |
dc.relation.journalResearchArea | Geriatrics & Gerontology | - |
dc.relation.journalResearchArea | Nursing | - |
dc.relation.journalWebOfScienceCategory | Geriatrics & Gerontology | - |
dc.relation.journalWebOfScienceCategory | Gerontology | - |
dc.relation.journalWebOfScienceCategory | Nursing | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | ssci | - |
dc.description.journalRegisteredClass | scopus | - |
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