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Relationship of social support and decisional conflict to advance directives attitude in Korean older adults: A community-based cross-sectional study

Authors
 JuHee LEE  ;  Dukyoo JUNG  ;  MoonKi CHOI 
Citation
 JAPAN JOURNAL OF NURSING SCIENCE, Vol.13(1) : 29-37, 2016 
Journal Title
JAPAN JOURNAL OF NURSING SCIENCE
ISSN
 1742-7932 
Issue Date
2016
MeSH
Advance Directives* ; Aged ; Attitude to Health* ; Conflict (Psychology)* ; Cross-Sectional Studies ; Decision Making* ; Female ; Humans ; Male ; Republic of Korea
Keywords
advance directives ; conflict ; elderly ; end of life care ; social support
Abstract
AIM: The aim of this study was to clarify the relationship between social support, decisional conflict, and attitude towards advance directives, and determine whether decisional conflict mediates the relation between social support and advance directives attitude among older adults in South Korea.
METHODS: In total, 209 community-based older adults (mean age, 74.82 years) participated in this cross-sectional study. Demographic characteristics, self-perceived health status, social support, decisional conflict, and advance directives attitude were investigated via a structured questionnaire. Data analysis was carried out using Pearson's correlation and path analyses.
RESULTS: The mean score of advance directives attitude was 48.01 (range, 35-61). Decisional conflict and social support were both significantly related to advance directives attitude (P < 0.001). Additionally, decisional conflict was a mediator between social support and advance directives attitudes.
CONCLUSION: The results confirmed the importance of social support for reducing decisional conflict and encouraging positive attitudes toward advance directives. Future studies are needed to support the development of culturally sensitive educational approaches regarding advance directives for older adults in Korea.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/jjns.12081/abstract
DOI
10.1111/jjns.12081
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Lee, JuHee(이주희) ORCID logo https://orcid.org/0000-0002-2805-1622
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/146614
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