PURPOSE
The purpose of this study was to examine the mediation of Self-Esteem in the relationship between Social Support and attitude toward the Withdrawal of Life-Sustaining Treatment (WLST) for community dwelling elderly in order to provide a basis for planning nursing interventions to improve the attitude of elderly.
METHODS
The participants were 252 elderly residing in Seoul. The data were collected through a questionnaire survey distributed in March, 2016. The survey included scales on Social Support, attitude towards WLST and measures of Self-esteem. Collected data were analyzed using SPSS/WIN 21.0 program.
RESULTS
The mean score for the attitude towards WLST was 73.83. Self-Esteem was 29.44. Overall Social Support was 42.51. There were significant correlations among the three variables. Self-esteem was directly affected by the attitude (R²=24%). Attitude towards WLST was directly affected by Family Support. Family Support and Self-esteem affected by the attitude on WLST (R²=19%). Self-esteem had a partial mediating effect (β=.23, p < .001) in the relationship between Family Support and reported attitude from the WLST (Sobel test: Z=4.93, p < .001).
CONCLUSION
Based on the findings of this study, programs can be created focusing on Social Support and Self-Esteem improvement. The programs may positively change the elderly's attitude towards WLST.

Citations

• Influence of Advance Directives' Self-efficacy of Community-dwelling Older Adults on the Completion of Advance Directives: Mediating the Effect of Intention for Advance Directives: A Cross-Sectional Study
  Hyun Sook Kim, Gye Jeong Yeom
  Journal of Korean Gerontological Nursing.2022; 24(2): 133.     CrossRef
• Mediating Effects of Role Perception of Life-sustaining Treatment in the Relationship between Knowledge of Lifesustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among Nursing College Students
  Youngmi Park, Keumhee Nam, Joohee Bae
  The Korean Journal of Hospice and Palliative Care.2021; 24(1): 36.     CrossRef
• Preferences for life-sustaining treatment in Korean adults: a cross-sectional study
  HyunChul Youn, Suk-young Lee, Han-yong Jung, Shin-Gyeom Kim, Seung‑Hyun Kim, Hyun-Ghang Jeong
  BMJ Open.2021; 11(1): e039470.     CrossRef
• Family's Perception of Proxy Decision Making to Authorize Do Not Resuscitate Order of Elderly Patients in Long Term Care Facility: A Q-Methodological Study
  Hyeon Jin Cho, Jiyeon Kang
  Journal of Korean Academy of Nursing.2021; 51(1): 15.     CrossRef
• Relationships among Perceptions of Dying Well, Attitudes toward Advance Directives, and Preferences for Advance Directives among Elderly Living Alone
  Eun-Jin Ryu, So-Eun Choi
  The Korean Journal of Hospice and Palliative Care.2020; 23(4): 241.     CrossRef
• Effects of Advance Care Planning on End-of-Life Decision Making: A Systematic Review and Meta-Analysis
  Minju Kim, Jieun Lee
  The Korean Journal of Hospice and Palliative Care.2020; 23(2): 71.     CrossRef
• Influence of Older Person's Ego Integrity and Knowledge of Advance Directives on their Attitude toward Withdrawal from Life-sustaining Treatment
  Eun Yi Yeom, Kum Sook Seo
  Journal of Korean Gerontological Nursing.2019; 21(3): 173.     CrossRef
• The Relationship among Attitudes toward the Withdrawal of Life-sustaining Treatment, Death Anxiety, and Death Acceptance among Hospitalized Elderly Cancer Patients
  YeonMi Seo, Sujin Shin
  Asian Oncology Nursing.2019; 19(3): 142.     CrossRef

PURPOSE
This study identified the reasons why tuberculosis (TB) patients withhold treatment in a bid to develop a assessment scale to select patients who needs nursing intervention in the early stage and decrease the risk of discontinuation of treatment. Sample: There were two samples. A sample of 191 patients with TB and having primary treatment and a second sample of N who were under re-treatment.
METHODS
The study design included qualitative and quantitative methods. Qualitative data were collected from in-depth interviews of TB patients under re-treatment. The quantitative data were collected from 191 patients with TB under primary treatment.
RESULTS
Exploratory factor analysis revealed 11 factors explaining 69.6% of total variance. These factors were categorized into four subgroups. A depression scale was used to establish concurrent validity. The depression scale had a positive relationship (r=54) with the discontinuing of primary treatment. The internal consistency reliability for the four subgroups was over .84. The confidence coefficient was Cronbach's alpha.95. The final scale was a self-reported four Likert scale including 50 items.
CONCLUSION
Reliability and validity was established for the scale and the scale can be used to examine the risk of treatment discontinuation for TB. The scale is an important resource for nursing interventions in identifying and treating high risk clients.

Citations

• Identifying Predictors of Unfavorable Treatment Outcomes in Tuberculosis Patients
  Ji Yeon Lee, Jun-Pyo Myong, Younghyun Kim, Ina Jeong, Joohae Kim, Sooim Sin, Yunhyung Kwon, Chieeun Song, Joon-Sung Joh
  International Journal of Environmental Research and Public Health.2024; 21(11): 1454.     CrossRef
• Factors Influencing the Medication Adherence in Patients with Pulmonary Tuberculosis in the COVID-19 Pandemic
  Bongsil Lim, Min Young Kim
  The Korean Journal of Rehabilitation Nursing.2023; 26(2): 87.     CrossRef
• Self-care Efficacy and Health-related Quality of Life among Patients on Primary Treatment for Pulmonary Tuberculosis: The Mediating Effects of Self-Care Performance
  Hyun Ju Lee, Jiyoung Park
  Korean Journal of Adult Nursing.2020; 32(3): 305.     CrossRef