Korean J Adult Nurs.  2016 Jun;28(3):334-342. 10.7475/kjan.2016.28.3.334.

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

Affiliations
  • 1Graduate School, Department of Nursing, Sahmyook University, Seoul, Korea.
  • 2Shinnae Senior Welfare Center, Seoul, Korea.
  • 3Department of Nursing, Sahmyook University, Seoul, Korea. shinsr@syu.ac.kr

Abstract

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.


MeSH Terms

Aged*
Data Collection
Humans
Independent Living*
Korea
Personal Autonomy*
Seoul
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