1. Relationship Between Preferences for Advance Directive Treatments and Decisional Conflicts Among Low-Income, Home-Based Cancer Management Recipients in Korea.
- Author
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Kim, Miyeong, Heo, Seongkum, Hur, Jung-Yi, Shim, JaeLan, and Kim, JinShil
- Subjects
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NURSING education , *CANCER chemotherapy , *CANCER patient psychology , *CONFLICT (Psychology) , *STATISTICAL correlation , *CARDIOPULMONARY resuscitation , *DECISION making , *HEMODIALYSIS , *HOME care services , *HOSPICE care , *MULTIVARIATE analysis , *PALLIATIVE treatment , *POVERTY , *PROXY , *QUESTIONNAIRES , *T-test (Statistics) , *TUMORS , *ADVANCE directives (Medical care) , *MULTIPLE regression analysis , *INDEPENDENT living , *CROSS-sectional method , *DATA analysis software , *PATIENTS' attitudes , *DESCRIPTIVE statistics , *ONE-way analysis of variance - Abstract
Introduction: Data-based research has rarely addressed advance directives (ADs) in community-dwelling Korean cancer survivors. The purpose of this study was to examine the relationship between AD treatment choices and decisional conflicts among low-income, home-based cancer management recipients. Method: This study uses a cross-sectional, correlational design. The cancer survivors completed the questionnaires (Korean-Advance Directive model and Decisional Conflict Scale). Results: Among the 103 participants (average age 67.92 years), 56.3% had solid cancer. Hospice care was the most desired (68.9%), followed by hemodialysis (18.4%), cardiopulmonary resuscitation/ventilation support (15.5% for each), and chemotherapy (12.6%). Patients who were older, unmarried, unemployed, or underweight/obese; lived alone; or had lower education experienced greater decisional conflicts. In the multivariate analyses, no hospice preference was associated with greater decisional conflicts (t = −2.63, p =.01). Discussion: Early integration of AD discussion with the nurse-led, home-based service for this vulnerable population could serve as a liaison for quality and continuity of cancer survivorship care. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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