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

Hyun Sook Kim; Hye Kyoung Jang; Sung Rae Shin

doi:10.7475/kjan.2016.28.3.334

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Kim, Jang, and Shin: Factors Influencing Self Determination for Withdrawing Life-Sustaining Treatment of the Community Dwelling Elderly

Original Article

Korean Journal of Adult Nursing 2016; 28(3): 334-342.

Published online: 30 June 2016

DOI: https://doi.org/10.7475/kjan.2016.28.3.334

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

Hyun Sook Kim¹, Hye Kyoung Jang², Sung Rae Shin³

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 14 April 2016 Revised 2 June 2016 Accepted 22 June 2016

(open-access):

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.

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.

Keywords: Social support, Life satisfaction, Do not resuscitate, Self determination, Elderly

Figures and Tables

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.

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