Modifiable Factors Associated with the Completion of Advance Treatment Directives in Hematologic Malignancy: A Patient-Caregiver Dyadic Analysis
- Authors
- Kim J.; Park J.; Lee M.O.; Park E.Y.; Heo S.; Shim J.L.
- Issue Date
- May-2020
- Publisher
- MARY ANN LIEBERT
- Keywords
- advance directive; attitudes; caregivers; dyad; hematologic stem cell transplant; knowledge; malignancy
- Citation
- Journal of palliative medicine, v.23, no.5, pp.611 - 618
- Journal Title
- Journal of palliative medicine
- Volume
- 23
- Number
- 5
- Start Page
- 611
- End Page
- 618
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/45687
- DOI
- 10.1089/jpm.2019.0274
- ISSN
- 1557-7740
- Abstract
- Objective: The completion rates of advance treatment preferences in patients with hematologic malignancies are low. To improve these rates, the modifiable factors associated with completion need to be determined. This study aimed to examine the associations of patient attitudes toward, and knowledge about, advance directives (ADs) with the patient-caregiver dyadic completion of advance treatment directive surveys. Methods: Using a nonexperimental correlational design, 44 patient-caregiver dyads completed the questionnaires, including a Korean-Advance Directive model. Cohen's kappa coefficient and multiple logistic regression analyses examined the extent of dyadic agreement and patient factors for the dyadic completion of the advance treatment directive survey, respectively. Results: A minor group of patients (4.5%-11.4%) and caregivers (11.4%-18.2%) preferred aggressive end-of-life treatments, whereas more patients (47.7%) and caregivers (68.2%) supported hospice care. The only significant patient-caregiver dyadic concordance on treatment directives was for chemotherapy with a moderately high agreement (kappa = 0.60: 95% CI: 2.51-3.73). One score increase in AD knowledge and having a history of hematopoietic stem cell transplant (HSCT) increased the likelihood of dyadic completion of the treatment directive survey by 43% (p = 0.039) and 917% (p = 0.047), respectively. Conclusions: The patient-caregiver dyads in the setting of hematologic malignancy had a moderately high concordance with chemotherapy but were not associated with other treatment options. A higher level of AD knowledge and HSCT were associated with dyadic completion of the AD survey. Educational support is important to increase knowledge regarding ADs through ongoing palliative discussions among hematologic patients and their caregivers.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 의과대학 > 의학과 > 1. Journal Articles
- 간호대학 > 간호학과 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/45687)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.