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Original Article

Factors Influencing Self Determination for Withdrawing Life-Sustaining Treatment of the Community Dwelling Elderly

Hyun Sook Kim1, Hye Kyoung Jang2, Sung Rae Shin3
Korean Journal of Adult Nursing 2016;28(3):334-342.
Published online: June 30, 2016

1Graduate School, Department of Nursing, Sahmyook University, Seoul, Korea.

2Shinnae Senior Welfare Center, Seoul, Korea.

3Department of Nursing, Sahmyook University, Seoul, Korea.

Corresponding author: Shin, Sung Rae. Department of Nursing, Sahmyook University, 815 Hwarang-ro, Nowon-gu, Seoul 01795, Korea. Tel: +82-2-3399-1588, Fax: +82-2-3399-1594, shinsr@syu.ac.kr
• Received: April 14, 2016   • Revised: June 2, 2016   • Accepted: June 22, 2016

© 2016 Korean Society of Adult Nursing

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    This study was conducted to identify factors that influence on self-determination for withdrawal of life-sustaining treatment in the community dwelling elderly.
  • Methods
    This study used a descriptive correlational design. A convenience sample of 201 elderly were recruited from a welfare center located in Seoul, Korea. Data collection was done from September 1 to September 18, 2015. Four survey questionnaires were used: Multidimensional Scale of Perceived Social Support (MSPSS), Life Satisfaction Index-Z (LSI-Z), Attitude on Do Not Resuscitate (DNR), and Self-determination for Withdrawing Life-sustaining Treatment. Data analysis was done by t-test, ANOVA, Pearson's correlation, and hierrarchical multiple regression.
  • Results
    Hierarchial multiple regression showed that the factors predicting the level of self-determination for withdrawing life-sustaining treatment were educational level, DNR experience in family, life satisfaction, and DNR attitude. These factors explained 44% of the self-determination for withdrawing life-sustaining treatment in community dwelling elderly.
  • Conclusion
    The results of this study suggest developing educational programs aiming at changing elderly's DNR attitude positive ways so that they can enhance self-determination for withdrawing life-sustaining treatment. Further study is needed with more elderly population in extended areas.
  • Key Words: Social support; Life satisfaction; Do not resuscitate; Self determination; Elderly
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Table 1

Characteristics of Community Dwelling Elderly Participants (N=201)

kjan-28-334-i001.jpg

DNR=do not resuscitate.

Table 2

Social Support, Life Satisfaction, DNR Attitude and Self-determination on Withdrawing Life-sustaining Treatment (N=201)

kjan-28-334-i002.jpg

DNR=do not resuscitate.

Table 3

Relationships between Social Support, Life Satisfaction, DNR Attitude and Self-determination on Withdrawing Life-Sustaining Treatment of the Community Dwelling Elderly (N=201)

kjan-28-334-i003.jpg

DNR=do not resuscitate.

Table 4

Influencing Factors on Self-Determination of Withdrawing Life-sustaining Treatment of the Community Dwelling Elderly (N=201)

kjan-28-334-i004.jpg

DNR=do not resuscitate.

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • 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
    • Factors influencing intention to use life-sustaining treatment of community-dwelling older adults using the 2020 national survey of older Koreans: Secondary analysis research
      Yun Hee Hwang, Hye Jung Jun, Hye-Ryeon Park
      Journal of Korean Gerontological Nursing.2022; 24(4): 424.     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

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    Factors Influencing Self Determination for Withdrawing Life-Sustaining Treatment of the Community Dwelling Elderly
    Korean J Adult Nurs. 2016;28(3):334-342.   Published online June 30, 2016
    DOI: https://doi.org/10.7475/kjan.2016.28.3.334
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    Factors Influencing Self Determination for Withdrawing Life-Sustaining Treatment of the Community Dwelling Elderly
    Korean J Adult Nurs. 2016;28(3):334-342.   Published online June 30, 2016
    DOI: https://doi.org/10.7475/kjan.2016.28.3.334
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    Factors Influencing Self Determination for Withdrawing Life-Sustaining Treatment of the Community Dwelling Elderly
    Factors Influencing Self Determination for Withdrawing Life-Sustaining Treatment of the Community Dwelling Elderly

    Characteristics of Community Dwelling Elderly Participants (N=201)

    DNR=do not resuscitate.

    Social Support, Life Satisfaction, DNR Attitude and Self-determination on Withdrawing Life-sustaining Treatment (N=201)

    DNR=do not resuscitate.

    Relationships between Social Support, Life Satisfaction, DNR Attitude and Self-determination on Withdrawing Life-Sustaining Treatment of the Community Dwelling Elderly (N=201)

    DNR=do not resuscitate.

    Influencing Factors on Self-Determination of Withdrawing Life-sustaining Treatment of the Community Dwelling Elderly (N=201)

    DNR=do not resuscitate.
    Table 1 Characteristics of Community Dwelling Elderly Participants (N=201)

    DNR=do not resuscitate.

    Table 2 Social Support, Life Satisfaction, DNR Attitude and Self-determination on Withdrawing Life-sustaining Treatment (N=201)

    DNR=do not resuscitate.

    Table 3 Relationships between Social Support, Life Satisfaction, DNR Attitude and Self-determination on Withdrawing Life-Sustaining Treatment of the Community Dwelling Elderly (N=201)

    DNR=do not resuscitate.

    Table 4 Influencing Factors on Self-Determination of Withdrawing Life-sustaining Treatment of the Community Dwelling Elderly (N=201)

    DNR=do not resuscitate.

    Table 1

    Table 2

    Table 3

    Table 4

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