Relationship Between Preferences for Advance Directive Treatments and Decisional Conflicts Among Low-Income, Home-Based Cancer Management Recipients in Korea
- Authors
- Kim, Miyeong; Heo, Seongkum; Hur, Jung-Yi; Shim, JaeLan; Kim, JinShil
- Issue Date
- Nov-2019
- Publisher
- SAGE PUBLICATIONS INC
- Keywords
- advance directive; cancer survivors; decisional conflicts; home based
- Citation
- JOURNAL OF TRANSCULTURAL NURSING, v.30, no.6, pp.587 - 596
- Journal Title
- JOURNAL OF TRANSCULTURAL NURSING
- Volume
- 30
- Number
- 6
- Start Page
- 587
- End Page
- 596
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/886
- DOI
- 10.1177/1043659619832080
- ISSN
- 1043-6596
- Abstract
- Introduction: Data-based research has rarely addressed advance directives (ADs) in community-dwelling Korean cancer survivors. The purpose of this study was to examine the relationship between AD treatment choices and decisional conflicts among low-income, home-based cancer management recipients. Method: This study uses a cross-sectional, correlational design. The cancer survivors completed the questionnaires (Korean-Advance Directive model and Decisional Conflict Scale). Results: Among the 103 participants (average age 67.92 years), 56.3% had solid cancer. Hospice care was the most desired (68.9%), followed by hemodialysis (18.4%), cardiopulmonary resuscitation/ventilation support (15.5% for each), and chemotherapy (12.6%). Patients who were older, unmarried, unemployed, or underweight/obese; lived alone; or had lower education experienced greater decisional conflicts. In the multivariate analyses, no hospice preference was associated with greater decisional conflicts (t = -2.63, p =.01). Discussion: Early integration of AD discussion with the nurse-led, homebased service for this vulnerable population could serve as a liaison for quality and continuity of cancer survivorship care.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 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/886)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.