Kim So-Sun, Lee Won-Hee, Cheon Jooyoung, Lee Jung-Eun, Yeo Kisun, Lee Juhee
Nursing Policy Research Institute, College of Nursing, Yonsei University, Seoul 120-752, Republic of Korea.
Nurs Res Pract. 2012;2012:873892. doi: 10.1155/2012/873892. Epub 2011 Sep 8.
Background. The goal of advance directives is to help patients retain their dignity and autonomy by making their own decisions regarding end-stage medical treatment. The purpose of this study was to examine preferences of advance directives among general population in Korea. Method. A descriptive cross-sectional survey was performed from October 2007 to June 2008 in Seoul, Korea. A total of 336 city-dwelling adults self-administered the questionnaire and returned it via mail. Data analyses were conducted using SPSS 17.0. Results. Subjects reported the need for healthcare providers' detailed explanations and recommendations regarding end-of-life care. When there is no hope of recovery and death is imminent, most subjects did not want to receive cardiopulmonary resuscitation nor an IV or tube feeding. However, most of the subjects wanted pain management care. Conclusions. The present study showed that many Korean people have an interest in advance directives. The results show that the autonomy and dignity of patient have increased in importance. To provide better end-of-life care, there is a need to educate patients on the definition and intent of an advance directive. Additional proactive communication between patients and their caregivers should be educated to healthcare providers.
背景。预立医疗指示的目标是通过让患者就终末期医疗治疗自行做决定，来帮助他们保持尊严和自主性。本研究的目的是调查韩国普通人群对预立医疗指示的偏好。方法。2007年10月至2008年6月在韩国首尔进行了一项描述性横断面调查。共有336名城市成年居民自行填写问卷并通过邮件返还。使用SPSS 17.0进行数据分析。结果。受试者报告需要医疗服务提供者就临终护理提供详细解释和建议。当没有康复希望且死亡即将来临之时，大多数受试者不想接受心肺复苏、静脉输液或管饲。然而，大多数受试者希望接受疼痛管理护理。结论。本研究表明许多韩国人对预立医疗指示感兴趣。结果表明患者的自主性和尊严变得更加重要。为了提供更好的临终护理，有必要向患者传授预立医疗指示的定义和意图。应教育医疗服务提供者加强患者与其护理人员之间积极的沟通。
