Korean J Adult Nurs KJAN Korean Journal of Adult Nursing 1225-4886 2288-338X Korean Society of Adult Nursing 10.7475/kjan.2016.28.3.334 Original Article Factors Influencing Self Determination for Withdrawing Life-Sustaining Treatment of the Community Dwelling Elderly Kim Hyun Sook 1 Jang Hye Kyoung 2 Shin Sung Rae 3 Graduate School, Department of Nursing, Sahmyook University, Seoul, Korea. Shinnae Senior Welfare Center, Seoul, Korea. Department 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 06 2016 30 06 2016 28 3 334 342 14 04 2016 02 06 2016 22 06 2016 © 2016 Korean Society of Adult Nursing 2016 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. 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.

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DNR=do not resuscitate.

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

DNR=do not resuscitate.

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

DNR=do not resuscitate.